DAVID KENNETH JACKSON

BALTIMORE, MD
NPI1851566467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist Optician
(Licence: MD  072195)
Enumeration Date2008-04-24
Last Update Date2008-04-24
Business Address
MR. DAVID KENNETH JACKSON ABOC
4200 ELDERON AVE
BALTIMORE, MD 21215-4802
Phone number: 410-664-4508
Mailing Address
MR. DAVID KENNETH JACKSON ABOC
4200 ELDERON AVE
BALTIMORE, MD 21215-4802
Phone number: 410-664-4508
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