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1407043797
JACK HOLMES REID
FAIRHOPE, AL
NPI
1407043797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: AL 3625)
Enumeration Date
2007-10-01
Last Update Date
2007-10-01
Business Address
Dr. JACK HOLMES REID
911 PLANTATION BLVD
FAIRHOPE, AL 36532-2949
Phone number: 251-928-9331
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Mailing Address
Dr. JACK HOLMES REID
911 PLANTATION BLVD
FAIRHOPE, AL 36532-2949
Phone number: 251-928-9331
Copy
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