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1992225270
JOHN MORGAN JACKSON
LAGRANGE, GA
NPI
1992225270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN015409)
Enumeration Date
2017-06-27
Last Update Date
2022-07-21
Business Address
Dr. JOHN MORGAN JACKSON DMD
304 S LEWIS ST
LAGRANGE, GA 30240-3144
Phone number: 706-845-0544
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Mailing Address
Dr. JOHN MORGAN JACKSON DMD
304 S LEWIS ST
LAGRANGE, GA 30240-3144
Phone number: 706-845-0544
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