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1093954323
JACK WALLACE MORRISON
LUTZ, FL
NPI
1093954323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN004665)
Enumeration Date
2009-02-10
Last Update Date
2009-02-10
Business Address
Dr. JACK WALLACE MORRISON DDS
18850 DALE MABRY HWY N
LUTZ, FL 33548-4978
Phone number: 813-949-6969
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Mailing Address
Dr. JACK WALLACE MORRISON DDS
10105 WOODSONG WAY
TAMPA, FL 33618-4213
Phone number: 813-935-0879
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