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1922071042
DOROTHY LOUISE JACKSON
TYLER, TX
NPI
1922071042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX N1355)
Enumeration Date
2006-02-09
Last Update Date
2015-03-20
Business Address
DR. DOROTHY LOUISE JACKSON MD
1114 W BOW ST
TYLER, TX 75702-5137
Phone number: 903-595-5595
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Mailing Address
DR. DOROTHY LOUISE JACKSON MD
1114 W BOW ST
TYLER, TX 75702-5137
Phone number: 903-595-5595
Copy
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