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1891549010
JACKSON MARTIN
OFFUTT AFB, NE
NPI
1891549010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-15
Last Update Date
2024-05-29
Business Address
JACKSON MARTIN
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 024-294-2056
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Mailing Address
JACKSON MARTIN
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number:
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