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1487810800
TIMOTHY J DERUYTER
GOLDSBORO, NC
NPI
1487810800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS037574)
Enumeration Date
2008-08-05
Last Update Date
2008-08-05
Business Address
Dr. TIMOTHY J DERUYTER DDS
1050 JABARA AVE SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531-2310
Phone number: 919-722-1933
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Mailing Address
Dr. TIMOTHY J DERUYTER DDS
1050 JABARA AVE SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531-2310
Phone number: 919-722-1933
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