Statements: Kilgore, Jr., Jack L.

Canonical ID: us-medsc-7fe619937a7976c96188e26a0fd56fa88fb87ddd · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:addressColumbia, SC 29223engus_sc_med_exclusionsus-medsc-7fe619937a7976c96188e26a0fd56fa88fb87ddd
LegalEntity:countryusengus_sc_med_exclusionsus-medsc-7fe619937a7976c96188e26a0fd56fa88fb87ddd
LegalEntity:idd5c9117d609fc04851b026497900ffb8cb0bc495engus_sc_med_exclusionsus-medsc-7fe619937a7976c96188e26a0fd56fa88fb87ddd
LegalEntity:nameKilgore, Jr., Jack L.engus_sc_med_exclusionsus-medsc-7fe619937a7976c96188e26a0fd56fa88fb87ddd
LegalEntity:npiCode1295719201engus_sc_med_exclusionsus-medsc-7fe619937a7976c96188e26a0fd56fa88fb87ddd
LegalEntity:sectorInd-Lic HC Serv Prov - Dentistengus_sc_med_exclusionsus-medsc-7fe619937a7976c96188e26a0fd56fa88fb87ddd
LegalEntity:topicsdebarmentengus_sc_med_exclusionsus-medsc-7fe619937a7976c96188e26a0fd56fa88fb87ddd
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