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Individual
DR. JESSICA LYNN WORTHINGTON
Active
Individual
DR. JESSICA LYNN WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027436
IL
122300000X
Dentist
12011279A
IN
1223G0001X
General Practice Dentistry
Primary
12011279A
IN
Other
Enumeration date
07/10/2007
Last updated
07/27/2010
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