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1114470580
JEREMY MANTLE WELLS
EIELSON AFB, AK
NPI
1114470580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 12590570-9926)
Enumeration Date
2016-08-02
Last Update Date
2024-07-29
Business Address
Dr. JEREMY MANTLE WELLS D.D.S.
2630 CENTRAL AVE
EIELSON AFB, AK 99702-2301
Phone number: 907-377-6767
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Mailing Address
Dr. JEREMY MANTLE WELLS D.D.S.
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236-5511
Phone number: 210-292-0123
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