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1851304034
GREGORY S. FOSSUM
CORPUS CHRISTI, TX
NPI
1851304034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 014397)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Dr. GREGORY S. FOSSUM D.D.S.
9301 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78418-5505
Phone number: 361-937-5555
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Mailing Address
Dr. GREGORY S. FOSSUM D.D.S.
9301 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78418-5505
Phone number: 361-937-5555
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