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1487632972
KENNETH LEE MARQUARDT
FORT BLISS, TX
NPI
1487632972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15349)
Enumeration Date
2006-01-04
Last Update Date
2007-07-08
Business Address
-- KENNETH LEE MARQUARDT D.D.S.
128 CHAFFEE
FORT BLISS, TX 79906-3811
Phone number: 915-568-1101
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Mailing Address
-- KENNETH LEE MARQUARDT D.D.S.
231 POLARIS ST
WHITE SANDS MISSILE RANGE, NM 88002-1074
Phone number: 505-678-8707
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