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1457574428
JACK A COX
LACEY, WA
NPI
1457574428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00004839)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Dr. JACK A COX D.D.S.
4044 15TH AVE SE
LACEY, WA 98503-6962
Phone number: 360-491-4343
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Mailing Address
Dr. JACK A COX D.D.S.
4044 15TH AVE SE
LACEY, WA 98503-6962
Phone number: 360-491-4343
Copy
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