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1528132784
BRIAN JOSEPH JACKSON
UTICA, NY
NPI
1528132784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NY 042719)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
DR. BRIAN JOSEPH JACKSON D.D.S.
2534 GENESEE ST
UTICA, NY 13502-5814
Phone number: 315-724-5141
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Mailing Address
DR. BRIAN JOSEPH JACKSON D.D.S.
2534 GENESEE ST
UTICA, NY 13502-5814
Phone number: 315-724-5141
Copy
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