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1780931279
AUSTIN EVANS
EGLIN AFB, FL
NPI
1780931279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 9179)
Enumeration Date
2012-08-14
Last Update Date
2013-08-21
Business Address
Dr. AUSTIN EVANS D.M.D.
340 BOATNER ROAD
EGLIN AFB, FL 32542
Phone number: 850-883-8050
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Mailing Address
Dr. AUSTIN EVANS D.M.D.
1501 SAN PEDRO DR SE BLDG 48 377TH DENTAL SQUADRON
ALBUQUERQUE, NM 87108-5153
Phone number: 505-846-3065
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