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1174044390
JESSIE C DEFFENDALL
PIKEVILLE, KY
NPI
1174044390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 9992)
Additional Taxonomies
122300000X Dentist
(Licence: IN 12012801A)
Enumeration Date
2017-06-28
Last Update Date
2019-10-14
Business Address
JESSIE C DEFFENDALL D.M.D
220 CASSIDY BLVD
PIKEVILLE, KY 41501
Phone number: 606-653-2859
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Mailing Address
JESSIE C DEFFENDALL D.M.D
220 CASSIDY BLVD
PIKEVILLE, KY 41501-1426
Phone number:
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