JASON C LACOURSE

FORT CAMPBELL, KY
NPI1134403009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: UT  7735000-9921)
Enumeration Date2011-10-10
Last Update Date2020-08-13
Business Address
DR. JASON C LACOURSE DMD
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-412-6027
Mailing Address
DR. JASON C LACOURSE DMD
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-412-6027
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