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1356555684
JERRY LEE ROSE
INDIANAPOLIS, IN
NPI
1356555684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN In7172)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Dr. JERRY LEE ROSE D.D.S.
8130 S MERIDIAN ST A4
INDIANAPOLIS, IN 46217-4986
Phone number: 317-888-3591
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Mailing Address
Dr. JERRY LEE ROSE D.D.S.
8130 S MERIDIAN ST A4
INDIANAPOLIS, IN 46217-4986
Phone number: 317-888-3591
Copy
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