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1669686713
LORY CARLISLE AVSAR
JASPER, AL
NPI
1669686713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: AL 4618)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- LORY CARLISLE AVSAR DMD
4330 HIGHWAY 78 E SUITE 122
JASPER, AL 35501-8905
Phone number: 205-221-1341
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Mailing Address
-- LORY CARLISLE AVSAR DMD
3900 DUNBARTON DR
BIRMINGHAM, AL 35223-2741
Phone number: 205-253-4969
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