LOUIS JACKSON

ALBUQUERQUE, NM
NPI1285040337
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD4138)
Enumeration Date2014-07-09
Last Update Date2014-07-09
Business Address
-- LOUIS JACKSON
8201 GOLF COURSE RD NW
ALBUQUERQUE, NM 87120-5842
Phone number: 505-892-9010
Mailing Address
-- LOUIS JACKSON
8201 GOLF COURSE RD NW
ALBUQUERQUE, NM 87120-5842
Phone number: 505-892-9010
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