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1184084063
SHAWANDA JACKSON
TAMPA, FL
NPI
1184084063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: SC 8873)
Enumeration Date
2016-03-04
Last Update Date
2016-03-04
Business Address
Mrs. SHAWANDA JACKSON Dental Hygienist
3250 ZEMKE AVENUE
TAMPA, FL 33621-5205
Phone number: 813-827-9400
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Mailing Address
Mrs. SHAWANDA JACKSON Dental Hygienist
3250 ZEMKE AVENUE
TAMPA, FL 33621-5205
Phone number: 813-827-9400
Copy
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