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1952418089
STEPHEN H JACKSON
HERRIN, IL
NPI
1952418089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: KY 24187)
Enumeration Date
2006-08-24
Last Update Date
2015-10-23
Business Address
DR. STEPHEN H JACKSON MD
510 LINCOLN DR
HERRIN, IL 62948-6334
Phone number: 618-997-6800
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Mailing Address
DR. STEPHEN H JACKSON MD
4787 ALBEN BARKLEY DRIVE
PADUCAH, KY 42002
Phone number: 270-442-9461
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