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Individual

KAYLIE JERROLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3159 HIGHWAY 64 STE 100, EADS, TN 38028-3322
(901) 465-2382
Mailing address
1456 ROSEMARY LN, MEMPHIS, TN 38104-4917

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12882
TN

Other

Enumeration date
06/26/2025
Last updated
06/26/2025
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