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1972589844
JERRY L. STOVALL
LEXINGTON, KY
NPI
1972589844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: KY 3935)
Enumeration Date
2005-12-21
Last Update Date
2010-05-06
Business Address
Dr. JERRY L. STOVALL D.M.D.
620 PERIMETER DR SUITE 203
LEXINGTON, KY 40517-4125
Phone number: 859-268-6868
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Mailing Address
Dr. JERRY L. STOVALL D.M.D.
620 PERIMETER DRIVE SUITE 103
LEXINGTON, KY 40517-4125
Phone number: 859-268-8989
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