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1881754877
AMY JACKSON
SAN ANTONIO, TX
NPI
1881754877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 22622)
Enumeration Date
2006-12-11
Last Update Date
2011-07-06
Business Address
-- AMY JACKSON
14855 BLANCO RD STE 109
SAN ANTONIO, TX 78216-7728
Phone number: 210-493-6067
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Mailing Address
-- AMY JACKSON
14855 BLANCO RD STE 109
SAN ANTONIO, TX 78216-7728
Phone number: 210-493-6067
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