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1962543876
JASON ALLAN LEACH
HORN LAKE, MS
NPI
1962543876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ D6188)
Enumeration Date
2007-02-12
Last Update Date
2015-12-23
Business Address
Dr. JASON ALLAN LEACH D.M.D.
2154 GOODMAN RD W
HORN LAKE, MS 38637-1303
Phone number: 662-393-9200
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Mailing Address
Dr. JASON ALLAN LEACH D.M.D.
8151 E INDIAN BEND RD STE 111
SCOTTSDALE, AZ 85250-4826
Phone number: 480-607-9999
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