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1184038374
KEVIN M O'BRIEN
SALEM, VA
NPI
1184038374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401414448)
Enumeration Date
2014-06-16
Last Update Date
2014-06-16
Business Address
-- KEVIN M O'BRIEN
511 ROANOKE BLVD
SALEM, VA 24153-5032
Phone number: 540-389-0330
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Mailing Address
-- KEVIN M O'BRIEN
511 ROANOKE BLVD
SALEM, VA 24153-5032
Phone number: 540-389-0330
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