JEREMY JACKSON

HAZARD, KY
NPI1265621973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  R1281)
Enumeration Date2007-10-18
Last Update Date2007-10-18
Business Address
-- JEREMY JACKSON D.O.
750 MORTON BLVD
HAZARD, KY 41701-9469
Phone number: 606-439-1559
Mailing Address
-- JEREMY JACKSON D.O.
750 MORTON BLVD
HAZARD, KY 41701-9469
Phone number: 606-439-1559
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