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1902178965
DAVID MICHAEL POLSTON
FORT CAMPBELL, KY
NPI
1902178965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 1103385)
Enumeration Date
2012-02-06
Last Update Date
2012-02-06
Business Address
-- DAVID MICHAEL POLSTON PA-C
650 JOEL DR ATTENTION: CREDENTIALS OFFICE
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8130
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Mailing Address
-- DAVID MICHAEL POLSTON PA-C
650 JOEL DR ATTENTION: CREDENTIALS OFFICE
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8130
Copy
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