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1548644677
JIM LI
SHAW AFB, SC
NPI
1548644677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 9473991-9921)
Enumeration Date
2015-07-18
Last Update Date
2024-08-22
Business Address
JIM LI
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152-5100
Phone number: 803-895-6960
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Mailing Address
JIM LI
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152-5100
Phone number:
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