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1245547488
CHARLES MICHAEL KEANE
CAMP LEJEUNE, NC
NPI
1245547488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MN DE 12803)
Enumeration Date
2010-09-09
Last Update Date
2010-09-09
Business Address
Dr. CHARLES MICHAEL KEANE DDS
315 MCHUGH BLVD COMMANDING OFFICER 2D DENBN/NDC PSC BOX 20130
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
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Mailing Address
Dr. CHARLES MICHAEL KEANE DDS
315 MCHUGH BLVD COMMANDING OFFICER 2D DENBN/NDC PSC BOSX 20130
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
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