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1891848529
JAMES FRED JACKSON
MORGANTOWN, WV
NPI
1891848529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WV 2581)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
DR. JAMES FRED JACKSON DDS
1193 PINEVIEW DR
MORGANTOWN, WV 26505-2700
Phone number: 304-599-1602
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Mailing Address
DR. JAMES FRED JACKSON DDS
1193 PINEVIEW DR
MORGANTOWN, WV 26505-2700
Phone number: 304-599-1602
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