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1710066998
MICHAEL WAYNE JACKSON
SPINDALE, NC
NPI
1710066998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 5501)
Enumeration Date
2006-11-06
Last Update Date
2007-07-09
Business Address
Dr. MICHAEL WAYNE JACKSON DDS
837 THUNDER RD
SPINDALE, NC 28160-1152
Phone number: 828-287-7592
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Mailing Address
Dr. MICHAEL WAYNE JACKSON DDS
PO BOX 825
SPINDALE, NC 28160-0825
Phone number: 828-287-7592
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