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Individual

TYRIN DMARQUE JAMES CLAXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DA

Contact information

Practice address
171 INNER LOOP ROAD, FORT IRWIN, CA 92310
(719) 526-5537
Mailing address
1631 WETZEL AVE BLDG 815, FORT CARSON, CO 80913-4095
(719) 526-5537

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
02/13/2019
Last updated
02/13/2019
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