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1891954566
JONATHAN D JACKSON
SPRINGVILLE, UT
NPI
1891954566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 7025515-9921)
Enumeration Date
2008-06-06
Last Update Date
2008-07-23
Business Address
Dr. JONATHAN D JACKSON D.D.S.
335 E 400 S
SPRINGVILLE, UT 84663-1959
Phone number: 801-489-4411
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Mailing Address
Dr. JONATHAN D JACKSON D.D.S.
51 N 850 E
LINDON, UT 84042-2154
Phone number: 304-288-4574
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