Individual
JUDITH FRANCINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 SKYLINE RD. S., SALEM, OR 97306
(503) 588-6560
Mailing address
1650 SE 2ND AVE., ALBANY, OR 97321
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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