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1700979994
ADOLPHUS MYRON JACKSON
BIRMINGHAM, AL
NPI
1700979994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 3679)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. ADOLPHUS MYRON JACKSON D.M.D.
859 LOMB AVE SW
BIRMINGHAM, AL 35211-1257
Phone number: 205-788-2124
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Mailing Address
Dr. ADOLPHUS MYRON JACKSON D.M.D.
859 LOMB AVE SW
BIRMINGHAM, AL 35211-1257
Phone number: 205-788-2124
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