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1093023509
MICHELLE JACKSON
SAN DIEGO, CA
NPI
1093023509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 21621)
Enumeration Date
2010-09-17
Last Update Date
2017-04-19
Business Address
Ms. MICHELLE JACKSON NP
300 FIR ST
SAN DIEGO, CA 92101-2327
Phone number: 858-499-4763
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Mailing Address
Ms. MICHELLE JACKSON NP
300 FIR ST
SAN DIEGO, CA 92101-2327
Phone number:
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