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1285040337
LOUIS JACKSON
ALBUQUERQUE, NM
NPI
1285040337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: ME DEN4862)
Enumeration Date
2014-07-09
Last Update Date
2024-08-15
Business Address
LOUIS JACKSON
8201 GOLF COURSE RD NW
ALBUQUERQUE, NM 87120-5842
Phone number: 505-892-9010
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Mailing Address
LOUIS JACKSON
888 BRIGHTON AVE
PORTLAND, ME 04102-1004
Phone number: 207-772-4111
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