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1124249958
FREDERICK CLYDE KRUSE
OREGON, OH
NPI
1124249958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OH 14964)
Enumeration Date
2007-05-01
Last Update Date
2008-07-28
Business Address
FREDERICK CLYDE KRUSE DDS
3015 NAVARRE AVE SUITE A
OREGON, OH 43616-3398
Phone number: 419-693-8993
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Mailing Address
FREDERICK CLYDE KRUSE DDS
9350 SYLVANIA
SYLVANIA, OH 43560
Phone number: 419-829-6304
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