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1992827877
LEO V. MIKESELL
CHINLE, AZ
NPI
1992827877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT 133643-9923)
Enumeration Date
2007-04-04
Last Update Date
2007-07-09
Business Address
Dr. LEO V. MIKESELL D.D.S
HWY 191 HOSPITAL ROAD
CHINLE, AZ 86503
Phone number: 928-674-7001
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Mailing Address
Dr. LEO V. MIKESELL D.D.S
PO DRAWER PH
CHINLE, AZ 86503
Phone number: 928-674-7001
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