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1770785594
JASON R GILLESPIE
SAN ANTONIO, TX
NPI
1770785594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: TX 19001)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Dr. JASON R GILLESPIE B.S., D.D.S., M.S.
4118 MCCULLOUGH AVE STE 11
SAN ANTONIO, TX 78212-1905
Phone number: 210-828-1682
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Mailing Address
Dr. JASON R GILLESPIE B.S., D.D.S., M.S.
4118 MCCULLOUGH AVE STE 11
SAN ANTONIO, TX 78212-1905
Phone number: 210-828-1682
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