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1245367655
DOUGLAS WAYNE JACKSON
TULSA, OK
NPI
1245367655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 3534)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- DOUGLAS WAYNE JACKSON DDS
5540 S 79TH E PLACE
TULSA, OK 74145-7846
Phone number: 918-663-0284
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Mailing Address
-- DOUGLAS WAYNE JACKSON DDS
5540 S 79TH E PLACE
TULSA, OK 74145-7846
Phone number: 918-663-0284
Copy
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