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1538775937
ROLAND ALONZO
FORT CAMPBELL, KY
NPI
1538775937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 36549)
Enumeration Date
2020-09-21
Last Update Date
2020-10-05
Business Address
ROLAND ALONZO DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-412-2787
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Mailing Address
ROLAND ALONZO DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-412-2787
Copy
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