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1912006743
JERRY WAYNE CAUDILL
CAMPBELLSBURG, KY
NPI
1912006743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KY 5408)
Enumeration Date
2006-09-21
Last Update Date
2020-01-16
Business Address
Dr. JERRY WAYNE CAUDILL D.M.D.
51 CARRIE LN
CAMPBELLSBURG, KY 40011-6218
Phone number: 502-414-1114
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Mailing Address
Dr. JERRY WAYNE CAUDILL D.M.D.
51 CARRIE LN
CAMPBELLSBURG, KY 40011-6218
Phone number: 502-414-1114
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