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1063978161
TYRIN DMARQUE JAMES CLAXTON
FORT IRWIN, CA
NPI
1063978161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
TYRIN DMARQUE JAMES CLAXTON DA
171 INNER LOOP ROAD
FORT IRWIN, CA 92310
Phone number: 719-526-5537
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Mailing Address
TYRIN DMARQUE JAMES CLAXTON DA
1631 WETZEL AVE BLDG 815
FORT CARSON, CO 80913-4095
Phone number: 719-526-5537
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