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1558423996
HOLLACE D JACKSON
NEW YORK, NY
NPI
1558423996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 109178)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Dr. HOLLACE D JACKSON M.D.
462 1ST AVE
NEW YORK, NY 10016-9196
Phone number: 212-562-5823
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Mailing Address
Dr. HOLLACE D JACKSON M.D.
407 E 58TH ST GARDEN LEVEL
NEW YORK, NY 10022-2302
Phone number: 212-753-3191
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