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1982717575
JOHN M JACKSON
LAGRANGE, GA
NPI
1982717575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN010331)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
Dr. JOHN M JACKSON DMD
304 S LEWIS ST
LAGRANGE, GA 30240-3144
Phone number: 706-845-0544
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Mailing Address
Dr. JOHN M JACKSON DMD
304 S LEWIS ST
LAGRANGE, GA 30240-3144
Phone number: 706-845-0544
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