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1861523748
ALTUS HARVEY LESLIE
EUPORA, MS
NPI
1861523748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 2185-85)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
Dr. ALTUS HARVEY LESLIE D.M.D.
202 MEADOWLANE ST
EUPORA, MS 39744-2219
Phone number: 662-258-2461
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Mailing Address
Dr. ALTUS HARVEY LESLIE D.M.D.
328 S MAIN ST
GRENADA, MS 38901-3215
Phone number: 662-801-6161
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