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1942441126
CHRISTOPHER W JACKSON
CARIBOU, ME
NPI
1942441126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT93)
Enumeration Date
2009-03-17
Last Update Date
2009-03-17
Business Address
-- CHRISTOPHER W JACKSON ATC, CEAS
163 VAN BUREN RD SUITE 1
CARIBOU, ME 04736-3567
Phone number: 207-498-1618
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Mailing Address
-- CHRISTOPHER W JACKSON ATC, CEAS
163 VAN BUREN RD SUITE 1
CARIBOU, ME 04736-3567
Phone number: 207-498-1618
Copy
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