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Individual

DR. SANDY N JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
7049 HIGHWAY BB, CEDAR HILL, MO 63016-2343
(636) 247-5437
Mailing address
1303 HAVENHURST RD, MANCHESTER, MO 63011-4404

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004023382
MO
111N00000X
Chiropractor
38010239
IL

Other

Enumeration date
11/29/2006
Last updated
07/08/2007
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