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1598913170
ASA NATHANIEL GALLUP
CORSICANA, TX
NPI
1598913170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 17139)
Enumeration Date
2008-09-08
Last Update Date
2016-05-04
Business Address
-- ASA NATHANIEL GALLUP D.D.S.
218 W 2ND AVE
CORSICANA, TX 75110-3003
Phone number: 903-872-3981
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Mailing Address
-- ASA NATHANIEL GALLUP D.D.S.
218 W 2ND AVE
CORSICANA, TX 75110-3003
Phone number: 903-872-3981
Copy
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