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Individual

DR. JAMES E JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1120 W SOUTH BOULDER ROAD, SUITE 102, LAFAYETTE, CO 80026
(303) 665-7577
(303) 665-3633
Mailing address
446 BLUE LAKE TRAIL, LAFAYETTE, CO 80026
(720) 890-7443

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1558
CO

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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