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1548610702
DEIADRE A DERY
FORT KNOX, KY
NPI
1548610702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
Mrs. DEIADRE A DERY
962 1ST INFATRY DIVISION RD JORDAN DENTAL CLINIC BLDG 2724
FORT KNOX, KY 40121-5210
Phone number: 502-626-8301
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Mailing Address
Mrs. DEIADRE A DERY
398 192ND ARMORED TANK BN RD USA DENTAC HEADQUARTERS BLDG 1022
FORT KNOX, KY 40121-5116
Phone number: 502-624-6158
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