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1336234640
HARRY KEITH JACKSON
CHARLESTON, WV
NPI
1336234640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WV 2140)
Enumeration Date
2006-10-03
Last Update Date
2019-08-02
Business Address
Dr. HARRY KEITH JACKSON D.D.S.
116 HILLS PLZ
CHARLESTON, WV 25387-2438
Phone number: 304-720-4466
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Mailing Address
Dr. HARRY KEITH JACKSON D.D.S.
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560-9816
Phone number: 304-720-4466
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