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1902686967
DARA JACKSON
LOUISVILLE, KY
NPI
1902686967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
DARA JACKSON PA-C
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217-1318
Phone number: 502-446-8669
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Mailing Address
DARA JACKSON PA-C
4801 OLYMPIA PARK PLZ STE 300
LOUISVILLE, KY 40241-2090
Phone number:
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