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1427038280
JEFFREY I JACKERSON
DOVER, DE
NPI
1427038280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: DE C20004119)
Enumeration Date
2006-01-18
Last Update Date
2012-03-01
Business Address
-- JEFFREY I JACKERSON D.O.
640 S STATE STREET DEPT OF RADIOLOGY
DOVER, DE 19901-3530
Phone number: 302-674-2202
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Mailing Address
-- JEFFREY I JACKERSON D.O.
10850 W PARK PL STE 1100
MILWAUKEE, WI 53224-3636
Phone number: 414-359-5745
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