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1043405590
KENNETH LEE AUSTIN
TUPELO, MS
NPI
1043405590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 2988-97)
Enumeration Date
2007-09-07
Last Update Date
2016-04-18
Business Address
Dr. KENNETH LEE AUSTIN DMD
3694 W JACKSON ST
TUPELO, MS 38801-7081
Phone number: 662-842-8035
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Mailing Address
Dr. KENNETH LEE AUSTIN DMD
3694 W JACKSON ST
TUPELO, MS 38801-7081
Phone number: 662-842-8035
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