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1427117860
JAIH C JACKSON
BRADENTON, FL
NPI
1427117860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN15032)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Dr. JAIH C JACKSON DDS, PA
8358 MARKET ST
BRADENTON, FL 34202-5137
Phone number: 941-907-9790
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Mailing Address
Dr. JAIH C JACKSON DDS, PA
8358 MARKET ST
BRADENTON, FL 34202-5137
Phone number: 941-907-9790
Copy
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