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1700095114
KERT D JOLLEY
NEWNAN, GA
NPI
1700095114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA 11218)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- KERT D JOLLEY
2819 HIGHWAY 34 E
NEWNAN, GA 30265-1331
Phone number: 770-254-8787
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Mailing Address
-- KERT D JOLLEY
2819 HIGHWAY 34 E
NEWNAN, GA 30265-1331
Phone number:
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