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1891949590
JEREMY DAVID BEWLEY
VINE GROVE, KY
NPI
1891949590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 8511)
Additional Taxonomies
122300000X Dentist
(Licence: IN 12011043A)
Enumeration Date
2008-11-07
Last Update Date
2008-11-07
Business Address
Dr. JEREMY DAVID BEWLEY DMD
423 CRUME RD
VINE GROVE, KY 40175-1130
Phone number: 270-877-5050
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Mailing Address
Dr. JEREMY DAVID BEWLEY DMD
848 ASHLAND ST
WEST LAFAYETTE, IN 47906-1508
Phone number: 765-838-2160
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