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1649888223
TERRY LAMONT JACKSON
EL PASO, TX
NPI
1649888223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
Enumeration Date
2020-07-20
Last Update Date
2020-07-20
Business Address
TERRY LAMONT JACKSON Barber
1101 E YANDELL DR
EL PASO, TX 79902-5524
Phone number: 915-345-7917
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Mailing Address
TERRY LAMONT JACKSON Barber
1101 E YANDELL DR
EL PASO, TX 79902-5524
Phone number: 915-345-7917
Copy
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