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1164634507
TAWANN PATRICE JACKSON
WASHINGTON, DC
NPI
1164634507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: DC 5105)
Enumeration Date
2007-05-06
Last Update Date
2007-07-08
Business Address
Dr. TAWANN PATRICE JACKSON D.D.S.
650 PENNSYLVANIA AVE SE SUITE 460
WASHINGTON, DC 20003-4318
Phone number: 202-547-7772
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Mailing Address
Dr. TAWANN PATRICE JACKSON D.D.S.
650 PENNSYLVANIA AVE SE SUITE 460
WASHINGTON, DC 20003-4318
Phone number: 202-547-7772
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