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1922124049
JEFFREY JAMES SPROUT
EVERGREEN, CO
NPI
1922124049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 7676)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- JEFFREY JAMES SPROUT dds
31226 LEWIS RIDGE RD
EVERGREEN, CO 80439-7998
Phone number: 303-674-5566
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Mailing Address
-- JEFFREY JAMES SPROUT dds
32581 MEADOW MOUNTAIN RD
EVERGREEN, CO 80439-9731
Phone number: 303-674-3542
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