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1114396579
JACQUELYN FAITH PROULX
BEAUFORT, SC
NPI
1114396579
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Former Name
JACQUELYN FAITH KASPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO DEN.00202643)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
-- JACQUELYN FAITH PROULX D.M.D.
1 PICKNEY BLVD. NAVAL HOSPITAL BEAUFORT
BEAUFORT, SC 29902
Phone number: 941-345-6180
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Mailing Address
-- JACQUELYN FAITH PROULX D.M.D.
2030 ELMEN ST
HOUSTON, TX 77019-6107
Phone number:
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