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1598280935
JARED BISHOP
FORT CAMPBELL, KY
NPI
1598280935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ D009747)
Enumeration Date
2017-08-07
Last Update Date
2022-07-21
Business Address
Dr. JARED BISHOP DMD
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
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Mailing Address
Dr. JARED BISHOP DMD
US ARMY DENTAL HEALTH ACTIVITY BAVARIA CMR 411 UNIT 28038
APO, AE 09112
Phone number: 314-590-3980
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