PATRICIA RENEE JACKSON

CHINLE, AZ
NPI1023377967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OH  30.023852)
Enumeration Date2012-05-13
Last Update Date2013-10-08
Business Address
MISS PATRICIA RENEE JACKSON
191 HIGHWAY AND HOSPITAL ROAD
CHINLE, AZ 86503
Phone number: 928-674-7166
Mailing Address
MISS PATRICIA RENEE JACKSON
PO DRAWER PH
CHINLE, AZ 86503
Phone number: 928-674-7166
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