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1457388399
MICHAEL LUTHER BEASLEY
SPRINGFIELD, MO
NPI
1457388399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MO 13900)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL LUTHER BEASLEY D.D.S.
1419 E ERIE ST
SPRINGFIELD, MO 65804-6487
Phone number: 417-887-6882
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Mailing Address
Dr. MICHAEL LUTHER BEASLEY D.D.S.
1419 E ERIE ST
SPRINGFIELD, MO 65804-6487
Phone number: 417-887-6882
Copy
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