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1487956280
ALEXANDER MONGEOT FOLSOM
FORT LEONARD WOOD, MO
NPI
1487956280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
Mr. ALEXANDER MONGEOT FOLSOM
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0048
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Mailing Address
Mr. ALEXANDER MONGEOT FOLSOM
22720 RALSTON LN
WAYNESVILLE, MO 65583-2599
Phone number: 714-655-3133
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