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1447392311
LYNNETTE JACKSON
LOS ANGELES, CA
NPI
1447392311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 29305)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- LYNNETTE JACKSON DDS
12012 S WILMINGTON AVENUE
LOS ANGELES, CA 90059
Phone number: 310-668-4515
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Mailing Address
-- LYNNETTE JACKSON DDS
1032 LOMA LISA LANE
ARCADIA, CA 91006
Phone number:
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