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1629382957
FRED EUGENE KASPER
GULFPORT, MS
NPI
1629382957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
Mr. FRED EUGENE KASPER IDC
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501-9007
Phone number: 228-822-5748
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Mailing Address
Mr. FRED EUGENE KASPER IDC
2317 LYNN AVE
GULFPORT, MS 39503-3644
Phone number: 228-206-4918
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