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1114931359
JON PATRICK LEBSACK
WASHINGTON, MO
NPI
1114931359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MO 014793)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
Dr. JON PATRICK LEBSACK D.D.S.
851 E 5TH ST STE. 320
WASHINGTON, MO 63090-3135
Phone number: 636-239-7150
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Mailing Address
Dr. JON PATRICK LEBSACK D.D.S.
851 E 5TH ST STE. 320
WASHINGTON, MO 63090-3135
Phone number: 636-239-7150
Copy
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