Individual
DR. DOROTHY LYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1646 ELMIRA ST, AURORA, CO 80010-2122
(303) 617-2656
(303) 617-2832
Mailing address
1646 ELMIRA ST, AURORA, CO 80010-2122
(303) 617-2656
(303) 617-2832
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
163103
CO
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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