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1609355148
JENNIFER L FULL
FORT LEONARD WOOD, MO
NPI
1609355148
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Former Name
JENNIFER L SOLBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA DDS-09585)
Enumeration Date
2018-08-07
Last Update Date
2021-03-18
Business Address
Dr. JENNIFER L FULL DDS
BOAK DENTAL CLINIC 12720 KANSAS AVE BLDG 789
FORT LEONARD WOOD, MO 65473-6547
Phone number: 706-718-4719
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Mailing Address
Dr. JENNIFER L FULL DDS
US ARMY DENTAL ACTIVITY 6958 NEBRASKA AVE BUILDING 1608
FORT LEONARD WOOD, MO 65473
Phone number:
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