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1730685991
JEREMY A NISSEN
SOMERSET, KY
NPI
1730685991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 10081)
Enumeration Date
2018-04-04
Last Update Date
2018-05-17
Business Address
DR. JEREMY A NISSEN DMD
110 N CENTRAL AVE
SOMERSET, KY 42501
Phone number: 606-679-1402
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Mailing Address
DR. JEREMY A NISSEN DMD
117 CLAREMONT AVE
LOUISVILLE, KY 40206-2728
Phone number: 160-687-5113
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