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1467717272
ADAM JACKSON THOMAS
LAKE CITY, FL
NPI
1467717272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN19968)
Enumeration Date
2012-07-08
Last Update Date
2015-10-07
Business Address
-- ADAM JACKSON THOMAS D.M.D.
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
-- ADAM JACKSON THOMAS D.M.D.
16505 NW 205TH ST
HIGH SPRINGS, FL 32643-8168
Phone number: 386-344-6543
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