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1023694973
JACKSON ROOS
LOS ANGELES, CA
NPI
1023694973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-22
Last Update Date
2023-10-17
Business Address
Dr. JACKSON ROOS MD
1200 N STATE ST
LOS ANGELES, CA 90089-1001
Phone number: 207-749-7690
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Mailing Address
Dr. JACKSON ROOS MD
1200 N STATE ST # 1060K
LOS ANGELES, CA 90089-1001
Phone number: 207-749-7690
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