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1124156419
JEROME P WELLBROCK
COVINGTON, KY
NPI
1124156419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 5122)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Dr. JEROME P WELLBROCK D.M.D.
15 W SOUTHERN AVE
COVINGTON, KY 41015-1481
Phone number: 859-491-1266
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Mailing Address
Dr. JEROME P WELLBROCK D.M.D.
15 W SOUTHERN AVE
COVINGTON, KY 41015-1481
Phone number: 859-491-1266
Copy
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