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1942546072
INGA MARIE KEITHLY
CAMP LEJEUNE, NC
NPI
1942546072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 8447979-9921)
Enumeration Date
2012-12-18
Last Update Date
2012-12-18
Business Address
-- INGA MARIE KEITHLY DMD
315 MCHUGH BLVD, 2D DENBN/NDC PSC BOX 20130 COMMANDING OFFICER
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
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Mailing Address
-- INGA MARIE KEITHLY DMD
315 MCHUGH BLVD, 2D DENBN/NDC PSC BOX 20130 COMMANDING OFFICER
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
Copy
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