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1396261020
ALEXANDER DESPOIS
FORT CAMPBELL, KY
NPI
1396261020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2017-08-15
Last Update Date
2022-07-21
Business Address
ALEXANDER DESPOIS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
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Mailing Address
ALEXANDER DESPOIS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
Copy
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