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1477164655
SAMUEL PAUL BRUNSON
FORT CAMPBELL, KY
NPI
1477164655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: SC 9639)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
Dr. SAMUEL PAUL BRUNSON
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-412-8545
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Mailing Address
Dr. SAMUEL PAUL BRUNSON
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-412-8545
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