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1346655974
JAKE BRADY WOLF
DEMING, NM
NPI
1346655974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM DD4108)
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
Dr. JAKE BRADY WOLF D.D.S.
1310 E PINE ST SUITE B
DEMING, NM 88030-7003
Phone number: 575-544-9999
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Mailing Address
Dr. JAKE BRADY WOLF D.D.S.
8201 GOLF COURSE RD NW
ALBUQUERQUE, NM 87120-5842
Phone number: 505-892-9010
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