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1669109229
GREGORY TRANDON LEE JEFFERSON
SHELBY, MT
NPI
1669109229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MT 25964)
Enumeration Date
2022-08-04
Last Update Date
2023-08-24
Business Address
GREGORY TRANDON LEE JEFFERSON
865 OILFIELD AVE
SHELBY, MT 59474-2702
Phone number: 406-434-3142
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Mailing Address
GREGORY TRANDON LEE JEFFERSON
222 AUSTIN POINT DR
WASHINGTON, NC 27889-5603
Phone number: 910-624-6765
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