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1679984199
ISAIAH JERNBERG
TERRE HAUTE, IN
NPI
1679984199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12012105A)
Enumeration Date
2014-05-19
Last Update Date
2017-04-20
Business Address
Dr. ISAIAH JERNBERG D.D.S.
1436 LOCUST ST
TERRE HAUTE, IN 47807-1648
Phone number: 812-878-2316
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Mailing Address
Dr. ISAIAH JERNBERG D.D.S.
1436 LOCUST ST
TERRE HAUTE, IN 47807-1648
Phone number: 812-878-2316
Copy
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