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1457330227
KRISTA L. JACKSON
PRESTONSBURG, KY
NPI
1457330227
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Former Name
KRISTA L. WELCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA 586)
Enumeration Date
2006-01-11
Last Update Date
2015-05-15
Business Address
-- KRISTA L. JACKSON PA-C
5000 KY ROUTE 321 SUITE 2162
PRESTONSBURG, KY 41653-9113
Phone number: 606-889-6185
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Mailing Address
-- KRISTA L. JACKSON PA-C
PO BOX 406
PRESTONSBURG, KY 41653-0406
Phone number: 606-889-6185
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