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1669996591
SPENCER CURTIS BEVAN
COLUMBIA, SC
NPI
1669996591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 10380211-9922)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
SPENCER CURTIS BEVAN
4323 HILL ST
COLUMBIA, SC 29207-6022
Phone number: 803-751-4512
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Mailing Address
SPENCER CURTIS BEVAN
4115 S COLT HAVEN CIR
SALT LAKE CITY, UT 84124-2655
Phone number:
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