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1912965880
LORI K JACKSON
LEWISTON, ME
NPI
1912965880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA852)
Enumeration Date
2006-05-02
Last Update Date
2016-06-03
Business Address
-- LORI K JACKSON P.A.
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-0111
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Mailing Address
-- LORI K JACKSON P.A.
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-0111
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