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1831103027
DAVID WAYNE JACKSON
SYLVANIA, OH
NPI
1831103027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: OH 34-005219)
Enumeration Date
2006-07-27
Last Update Date
2013-09-10
Business Address
Dr. DAVID WAYNE JACKSON D.O.
5300 HARROUN RD SUITE 201
SYLVANIA, OH 43560-2182
Phone number: 419-843-4836
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Mailing Address
Dr. DAVID WAYNE JACKSON D.O.
5300 HARROUN RD SUITE 201
SYLVANIA, OH 43560-2182
Phone number: 419-843-4836
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