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1053464339
DAVID K JACKSON
NEW ORLEANS, LA
NPI
1053464339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TP0016X Psychologist, Prescribing (Medical)
(Licence: LA 694MP)
Enumeration Date
2007-01-19
Last Update Date
2008-05-07
Business Address
-- DAVID K JACKSON PhD MSCP
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118-5911
Phone number: 504-896-7272
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Mailing Address
-- DAVID K JACKSON PhD MSCP
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118-5720
Phone number: 508-896-7272
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