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1811006471
WAUNELLE JACKSON IAN
MARIETTA, GA
NPI
1811006471
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Former Name
WAUNELLE JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 10271)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Mrs. WAUNELLE JACKSON IAN DDS
2520 WINDY HILL ROAD SUITE 103
MARIETTA, GA 30067
Phone number: 770-953-4801
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Mailing Address
Mrs. WAUNELLE JACKSON IAN DDS
2520 WINDY HILL ROAD SUITE 103
MARIETTA, GA 30067
Phone number: 770-953-4801
Copy
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