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1366439820
JAMES CLYDE STAUP
WRIGHT PATTERSON AFB, OH
NPI
1366439820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OH 30-02-0132)
Enumeration Date
2005-09-30
Last Update Date
2007-07-08
Business Address
Dr. JAMES CLYDE STAUP dds
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5546
Phone number: 937-257-9556
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Mailing Address
Dr. JAMES CLYDE STAUP dds
3152 GREEN TURTLE DR
DAYTON, OH 45414-1700
Phone number: 937-264-0732
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