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1659348555
ROBERT E JACKSON
AMARILLO, TX
NPI
1659348555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207U00000X Nuclear Medicine
(Licence: TX E4425)
Enumeration Date
2006-03-01
Last Update Date
2013-10-30
Business Address
ROBERT E JACKSON M.D.
1901 PORT LN
AMARILLO, TX 79106-2430
Phone number: 806-358-4596
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Mailing Address
ROBERT E JACKSON M.D.
PO BOX 3856
AMARILLO, TX 79116-3856
Phone number: 806-358-4596
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