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1053348631
SHELTON RAY JACKSON
LUBBOCK, TX
NPI
1053348631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX F4878)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Dr. SHELTON RAY JACKSON MD
4407 87TH ST
LUBBOCK, TX 79424-4229
Phone number: 806-783-0904
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Mailing Address
Dr. SHELTON RAY JACKSON MD
4407 87TH ST
LUBBOCK, TX 79424-4229
Phone number: 806-783-0904
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