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1033329990
ATIBA DIARRA JACKSON
DAYTON, OH
NPI
1033329990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OH 35.089443)
Enumeration Date
2007-05-22
Last Update Date
2016-09-16
Business Address
-- ATIBA DIARRA JACKSON M.D.
4160 LITTLE YORK RD STE 10
DAYTON, OH 45414-5803
Phone number: 937-415-9100
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Mailing Address
-- ATIBA DIARRA JACKSON M.D.
4160 LITTLE YORK RD STE 10
DAYTON, OH 45414-5803
Phone number: 937-415-9100
Copy
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