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1861052813
KLYNE CHANNING FAWCETT
FLORENCE, AL
NPI
1861052813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: AL 6664)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
Dr. KLYNE CHANNING FAWCETT DDS
2138 HELTON DR
FLORENCE, AL 35630-1449
Phone number: 256-766-5112
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Mailing Address
Dr. KLYNE CHANNING FAWCETT DDS
2138 HELTON DR
FLORENCE, AL 35630-1449
Phone number: 256-766-5112
Copy
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