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1518950534
JACKIE DALE NANNY
BEAUFORT, SC
NPI
1518950534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: FL DN 8903)
Enumeration Date
2005-08-24
Last Update Date
2007-09-14
Business Address
Dr. JACKIE DALE NANNY D.M.D.
188 NICARAGUA ST
BEAUFORT, SC 29902-7552
Phone number: 843-228-3500
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Mailing Address
Dr. JACKIE DALE NANNY D.M.D.
188 NICARAGUA ST
BEAUFORT, SC 29902-7552
Phone number: 843-228-3500
Copy
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