CLINTON O JACKSON

EAGLE RIVER, AK
NPI1659675361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: AK  1090102)
Enumeration Date2011-01-10
Last Update Date2019-07-01
Business Address
Mr. CLINTON O JACKSON
12244 BRECKENRIDGE DR
EAGLE RIVER, AK 99577-7656
Phone number: 907-694-6161
Mailing Address
Mr. CLINTON O JACKSON
PO BOX 671288
CHUGIAK, AK 99567-1288
Phone number: 907-694-6161