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1538242615
LEO EDWARD MORIARTY
FORT CAMPBELL, KY
NPI
1538242615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 7424)
Enumeration Date
2006-10-23
Last Update Date
2020-02-07
Business Address
Dr. LEO EDWARD MORIARTY DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
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Mailing Address
Dr. LEO EDWARD MORIARTY DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
Copy
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