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1003478629
CHRISTOPHER R JACKSON
MIDLAND, TX
NPI
1003478629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 36092)
Additional Taxonomies
122300000X Dentist
(Licence: ID D-5055)
Enumeration Date
2019-07-03
Last Update Date
2023-01-09
Business Address
CHRISTOPHER R JACKSON
4214 ANDREWS HWY STE 300
MIDLAND, TX 79703-4867
Phone number: 432-697-3333
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Mailing Address
CHRISTOPHER R JACKSON
1501 W WALL ST
MIDLAND, TX 79701-6525
Phone number:
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