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1154586832
KIMBERLEY EVELYN JACKSON
PUEBLO, CO
NPI
1154586832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: PA OS014960)
Enumeration Date
2008-07-22
Last Update Date
2011-09-16
Business Address
Dr. KIMBERLEY EVELYN JACKSON D.O.
902 LAKEVIEW AVE
PUEBLO, CO 81004-3597
Phone number: 719-557-5855
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Mailing Address
Dr. KIMBERLEY EVELYN JACKSON D.O.
902 LAKEVIEW AVE
PUEBLO, CO 81004-3597
Phone number: 719-557-5855
Copy
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