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1144207556
MICHAEL WAYNE JACKSON
SPRINGFIELD, MO
NPI
1144207556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MO 2004027940)
Enumeration Date
2005-12-28
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL WAYNE JACKSON D.C.
733 W KEARNEY ST
SPRINGFIELD, MO 65803-1229
Phone number: 417-831-7575
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Mailing Address
Dr. MICHAEL WAYNE JACKSON D.C.
733 W KEARNEY ST
SPRINGFIELD, MO 65803-1229
Phone number: 417-831-7575
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