KATHY M JACKSON

LA FOLLETTE, TN
NPI1215971379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101013273)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
-- KATHY M JACKSON D.O.
502 W CENTRAL AVE
LA FOLLETTE, TN 37766-3400
Phone number: 423-562-1705
Mailing Address
-- KATHY M JACKSON D.O.
PO BOX 111
CAPE GIRARDEAU, MO 63702-0111
Phone number: 423-562-1705
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