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1255507588
WALTER CHARLES JACKSON
METAIRIE, LA
NPI
1255507588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: LA 5927)
Enumeration Date
2008-05-06
Last Update Date
2009-06-17
Business Address
Dr. WALTER CHARLES JACKSON DDS, MD
4051 VETERANS MEMORIAL BLVD SUITE 200
METAIRIE, LA 70002-5572
Phone number: 504-455-7161
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Mailing Address
Dr. WALTER CHARLES JACKSON DDS, MD
4051 VETERANS MEMORIAL BLVD STE 200
METAIRIE, LA 70002-5567
Phone number: 504-455-7161
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