AMY ELIZABETH JACKSON

SEYMOUR, IN
NPI1699772954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IN  10000733A)
Enumeration Date2005-07-01
Last Update Date2013-03-20
Business Address
-- AMY ELIZABETH JACKSON PA C
1124 MEDICAL PL
SEYMOUR, IN 47274-2640
Phone number: 812-522-1613
Mailing Address
-- AMY ELIZABETH JACKSON PA C
1124 MEDICAL PL
SEYMOUR, IN 47274-2640
Phone number: 812-522-1613
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