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1588809206
LISA GABRIELLE SALLOUM
JACKSONVILLE, FL
NPI
1588809206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: FL DN12847)
Enumeration Date
2008-12-09
Last Update Date
2008-12-09
Business Address
-- LISA GABRIELLE SALLOUM D.D.S.
9000 GOLFSIDE DR SUITE A
JACKSONVILLE, FL 32256-7793
Phone number: 904-737-8410
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Mailing Address
-- LISA GABRIELLE SALLOUM D.D.S.
9000 GOLFSIDE DR SUITE B
JACKSONVILLE, FL 32256-7793
Phone number: 904-367-1722
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