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CLAUDINE JACQUELINE JACKSON O.D.

Individual Provider (NPI-1) Active

Optometrist

Provider Information

NPI Number
1659388114
Provider Type
Individual Provider (NPI-1)
Credentials
O.D.
Status
Active

Contact & Location

Address
4920 GRAND AVE, DULUTH, MN, 558072604
Phone
(218) 522-4412

Specialties & Taxonomies

Optometrist License: FL #TPOP64
Optometrist License: WI #3861-35
Optometrist License: MN #3690
Optometrist License: NY #009081
Optometrist Primary License: PA #OET008991

All Addresses

LOCATION

4920 GRAND AVE

DULUTH, MN, 558072604

(218) 522-4412

MAILING

6 E EPPLEY DR

CARLISLE, PA, 170134378

(717) 240-0311