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1285980698
JOSEPH CHARLES VANDERBOSCH
FORT CAMPBELL, KY
NPI
1285980698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 9528)
Enumeration Date
2012-08-03
Last Update Date
2012-08-03
Business Address
-- JOSEPH CHARLES VANDERBOSCH DMD
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8614
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Mailing Address
-- JOSEPH CHARLES VANDERBOSCH DMD
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8614
Copy
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