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1134565849
LARRY A. JACKSON, MD PC
SPRINGFIELD, OR
NPI
1134565849
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Entity Type
Organization
Authorized Contact
LARRY ARTHUR JACKSON
President
541-726-0550
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: OR 08513)
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
LARRY A. JACKSON, MD PC
1717 CENTENNIAL BLVD SUITE 7
SPRINGFIELD, OR 97477-3378
Phone number: 541-726-0550
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Mailing Address
LARRY A. JACKSON, MD PC
1717 CENTENNIAL BLVD SUITE 7
SPRINGFIELD, OR 97477-3378
Phone number: 541-726-0550
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