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1992003016
MARTIN JACKSON DPM PSC
MESQUITE, TX
NPI
1992003016
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Entity Type
Organization
Authorized Contact
MARTIN JACKSON
Owner
214-478-8483
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: TX 1239)
Enumeration Date
2011-03-14
Last Update Date
2011-03-14
Business Address
MARTIN JACKSON DPM PSC
1675 REPUBLIC PKWY STE 101
MESQUITE, TX 75150-6902
Phone number: 214-478-8483
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Mailing Address
MARTIN JACKSON DPM PSC
PO BOX 797512
DALLAS, TX 75379-7512
Phone number: 214-478-8483
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