JACKSIE SHORT

JOPLIN, MO
NPI1790207546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2018013954)
Enumeration Date2017-07-13
Last Update Date2018-07-05
Business Address
Dr. JACKSIE SHORT DMD
2819 E 29TH ST
JOPLIN, MO 64804
Phone number: 417-781-5530
Mailing Address
Dr. JACKSIE SHORT DMD
2819 E 29TH ST
JOPLIN, MO 64804-9951
Phone number: 417-781-5530
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