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Individual

SARAH NICHOLE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
13123 E 16TH AVE, B030, AURORA, CO 80045-7106
(720) 777-6800
(720) 777-7299
Mailing address
4125 BRIARGATE PKWY, B520, COLORADO SPRINGS, CO 80920-7804
(720) 777-6800
(720) 777-7299

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
534
CO
237600000X
Audiologist-Hearing Aid Fitter
534
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
57155887
CO
Enumeration date
07/03/2008
Last updated
01/30/2017
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