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1588258701
LUKE BRENDON JACKSON
JBSA FT SAM HOUSTON, TX
NPI
1588258701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: VA 0101276933)
Enumeration Date
2021-02-28
Last Update Date
2023-08-17
Business Address
DR. LUKE BRENDON JACKSON MD
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-5910
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Mailing Address
DR. LUKE BRENDON JACKSON MD
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-5910
Copy
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