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1770655979
BRIAN JAMES JACKSON
OLYMPIA, WA
NPI
1770655979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: WA 6128)
Enumeration Date
2006-11-14
Last Update Date
2008-10-07
Business Address
-- BRIAN JAMES JACKSON DDS
3924 MARTIN WAY E
OLYMPIA, WA 98506-5220
Phone number: 360-456-8610
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Mailing Address
-- BRIAN JAMES JACKSON DDS
3924 MARTIN WAY E
OLYMPIA, WA 98506-5220
Phone number: 360-456-8610
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