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1932250404
JAMES DOUGLAS JERSAK
SPRINGFIELD, MO
NPI
1932250404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MO 13617)
Enumeration Date
2007-01-13
Last Update Date
2007-07-08
Business Address
Dr. JAMES DOUGLAS JERSAK D.D.S.
1722 S GLENSTONE AVE EE
SPRINGFIELD, MO 65804-1519
Phone number: 417-887-4435
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Mailing Address
Dr. JAMES DOUGLAS JERSAK D.D.S.
1722 S GLENSTONE AVE EE
SPRINGFIELD, MO 65804-1519
Phone number: 417-887-4435
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