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1790207546
JACKSIE SHORT
JOPLIN, MO
NPI
1790207546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2018013954)
Enumeration Date
2017-07-13
Last Update Date
2018-07-05
Business Address
Dr. JACKSIE SHORT DMD
2819 E 29TH ST
JOPLIN, MO 64804
Phone number: 417-781-5530
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Mailing Address
Dr. JACKSIE SHORT DMD
2819 E 29TH ST
JOPLIN, MO 64804-9951
Phone number: 417-781-5530
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