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1295779841
TROY WAYNE JACKSON
EDMOND, OK
NPI
1295779841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OK 3241)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
Dr. TROY WAYNE JACKSON D.C.
3801 SOUTH BOULEVARD ST.
EDMOND, OK 73013-5473
Phone number: 405-330-6655
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Mailing Address
Dr. TROY WAYNE JACKSON D.C.
3801 SOUTH BOULEVARD ST.
EDMOND, OK 73013-5473
Phone number: 405-330-6655
Copy
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