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1467411223
ALAN E. JACKSON
SALT LAKE CITY, UT
NPI
1467411223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: UT 185984-1205)
Enumeration Date
2006-03-21
Last Update Date
2011-10-05
Business Address
DR. ALAN E. JACKSON M.D.
201 E 5900 S SUITE 101
SALT LAKE CITY, UT 84107-7379
Phone number: 801-268-6600
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Mailing Address
DR. ALAN E. JACKSON M.D.
201 E 5900 S SUITE 101
SALT LAKE CITY, UT 84107-7379
Phone number: 801-268-6600
Copy
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