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1104911411
JEB STUART ANDRUS
TACOMA, WA
NPI
1104911411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D8815)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Dr. JEB STUART ANDRUS DMD
BLDG 9900, 2ND FLOOR, LINCOLN STREET U.S. ARMY DENTAL ACTIVITY - FORT LEWIS
TACOMA, WA 98431-1100
Phone number: 253-968-4039
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Mailing Address
Dr. JEB STUART ANDRUS DMD
BLDG 9900, 2ND FLOOR, LINCOLN STREET U.S. ARMY DENTAL ACTIVITY - FORT LEWIS
TACOMA, WA 98431-1100
Phone number: 253-968-4039
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