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1487740114
JACKSON COCKLEY
MANSFIELD, OH
NPI
1487740114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OH 30021945)
Enumeration Date
2006-10-04
Last Update Date
2012-01-03
Business Address
Dr. JACKSON COCKLEY DDS
1145 ASPIRA CT
MANSFIELD, OH 44906-4125
Phone number: 419-774-7529
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Mailing Address
Dr. JACKSON COCKLEY DDS
1145 ASPIRA CT
MANSFIELD, OH 44906-4125
Phone number: 419-774-7529
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