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1104983220
EUGENE S MUMFORD
POULSBO, WA
NPI
1104983220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 006432)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
-- EUGENE S MUMFORD DDS
19163 JENSEN WAY NE
POULSBO, WA 98370-0148
Phone number: 360-779-3211
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Mailing Address
-- EUGENE S MUMFORD DDS
PO BOX 1429 19163 JENSEN WAY NE
POULSBO, WA 98370-0148
Phone number: 360-779-3211
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