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1083662845
CHARLES WILLIAM JACKSON
HUNTINGTON BEACH, CA
NPI
1083662845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CA G35311)
Enumeration Date
2006-05-04
Last Update Date
2010-07-30
Business Address
Dr. CHARLES WILLIAM JACKSON M.D.
17122 BEACH BLVD SUITE 102
HUNTINGTON BEACH, CA 92647-5992
Phone number: 714-847-6545
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Mailing Address
Dr. CHARLES WILLIAM JACKSON M.D.
17122 BEACH BLVD SUITE 102
HUNTINGTON BEACH, CA 92647-5992
Phone number: 714-847-6545
Copy
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