KRISTA JACKSON

LAGRANGE, IN
NPI1881435725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10004448A)
Enumeration Date2024-06-04
Last Update Date2024-07-12
Business Address
KRISTA JACKSON PA
2500 N DETROIT ST
LAGRANGE, IN 46761-1158
Phone number: 260-463-2133
Mailing Address
KRISTA JACKSON PA
PO BOX 236
LAGRANGE, IN 46761-0236
Phone number: 260-463-2133
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