JACKIE LYNN GRAHAM

ROSWELL, NM
NPI1497851166
Professional NameJACK L GRAHAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NM  74-39)
Enumeration Date2006-09-16
Last Update Date2008-07-08
Business Address
Dr. JACKIE LYNN GRAHAM M.D.
1600 SE MAIN ST STE E
ROSWELL, NM 88203-5423
Phone number: 505-623-8100
Mailing Address
Dr. JACKIE LYNN GRAHAM M.D.
1600 SE MAIN ST STE E
ROSWELL, NM 88203-5423
Phone number: 505-623-8100
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