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1730608928
JAYAKUMAR SAMUEL
ESPANOLA, NM
NPI
1730608928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NM DD4800)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
JAYAKUMAR SAMUEL
232 N PASEO DE ONATE
ESPANOLA, NM 87532-2623
Phone number: 505-753-7246
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Mailing Address
JAYAKUMAR SAMUEL
5401 KING ALBERT ST
SAN ANTONIO, TX 78229-5236
Phone number: 210-254-2362
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