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1851354245
ELMER H JACKSON
DANVILLE, KY
NPI
1851354245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: KY 15266)
Enumeration Date
2006-04-08
Last Update Date
2011-11-30
Business Address
-- ELMER H JACKSON MD
217 S 3RD ST
DANVILLE, KY 40422-1823
Phone number: 859-239-1220
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Mailing Address
-- ELMER H JACKSON MD
PO BOX 3361
SOMERSET, KY 42564-3361
Phone number: 865-766-8818
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