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1780817072
PHILLIP OLIVER LANCE
FORT CAMPBELL, KY
NPI
1780817072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OH 30.023052)
Enumeration Date
2009-09-02
Last Update Date
2009-09-02
Business Address
Dr. PHILLIP OLIVER LANCE DDS
BLDG 2441 21ST STREET U S ARMY DENTAC
FORT CAMPBELL, KY 42223-5369
Phone number: 270-798-8614
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Mailing Address
Dr. PHILLIP OLIVER LANCE DDS
BLDG 2441 21ST STREET U S ARMY DENTAC
FORT CAMPBELL, KY 42223-5369
Phone number: 270-798-8614
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