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1417204447
JERRY EUGENE NUTT
MARIETTA, GA
NPI
1417204447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA DN008291)
Enumeration Date
2012-08-09
Last Update Date
2012-08-09
Business Address
Dr. JERRY EUGENE NUTT DDS
1545 POWERS FERRY RD SE 220
MARIETTA, GA 30067-9412
Phone number: 770-980-9404
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Mailing Address
Dr. JERRY EUGENE NUTT DDS
217 MAIN ST
DESTIN, FL 32541-2503
Phone number: 850-837-0696
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