JORGE JACKSON

OWENSBORO, KY
NPI1437798261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: KY  2000034178)
Enumeration Date2019-12-26
Last Update Date2019-12-26
Business Address
JORGE JACKSON LAT ATC
2831 NEW HARTFORD RD
OWENSBORO, KY 42303
Phone number: 270-926-4100
Mailing Address
JORGE JACKSON LAT ATC
2831 NEW HARTFORD RD.
OWENSBORO, KY 42303
Phone number: 270-926-4100
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