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1063872703
HALSTON THAYER
APO, AP
NPI
1063872703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 32422)
Enumeration Date
2016-02-23
Last Update Date
2017-02-23
Business Address
-- HALSTON THAYER
18TH MEDICAL GROUP. UNIT 5142
APO, AP 96368
Phone number: 682-559-3392
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Mailing Address
-- HALSTON THAYER
PSC 80 BOX 14611
APO, AP 96367-0049
Phone number: 682-559-3392
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