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1073923975
ANGELA JACKSON
PORT TOWNSEND, WA
NPI
1073923975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60638952)
Enumeration Date
2014-04-30
Last Update Date
2021-06-07
Business Address
Mrs. ANGELA JACKSON PA-C
915 SHERIDAN ST.
PORT TOWNSEND, WA 98368
Phone number: 360-379-8031
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Mailing Address
Mrs. ANGELA JACKSON PA-C
834 SHERIDAN ST
PORT TOWNSEND, WA 98368
Phone number: 360-379-8031
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