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1104211424
JEVIN CARRUTH
SWANTON, VT
NPI
1104211424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: VT 016.0119901)
Enumeration Date
2015-04-02
Last Update Date
2016-07-07
Business Address
JEVIN CARRUTH DMD
2 SPRING ST
SWANTON, VT 05488-1329
Phone number: 802-363-8892
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Mailing Address
JEVIN CARRUTH DMD
2 SPRING ST
SWANTON, VT 05488-1329
Phone number: 802-363-8892
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