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Individual

JEVON K RHULE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3611 WASHINGTON ST UNIT B523, JAMAICA PLAIN, MA 02130-2960
(754) 234-2030
Mailing address
3611 WASHINGTON ST UNIT B523, JAMAICA PLAIN, MA 02130-2960
(754) 234-2030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858857
MA

Other

Enumeration date
11/03/2020
Last updated
11/03/2020
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