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1093490245
JACKSON JOSAPHAT
DEERFIELD BEACH, FL
NPI
1093490245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PR 1722-P.A.)
Enumeration Date
2023-06-15
Last Update Date
2023-06-25
Business Address
JACKSON JOSAPHAT
520 JEFFERSON DR UNIT 109
DEERFIELD BEACH, FL 33442-9455
Phone number: 155-124-8277
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Mailing Address
JACKSON JOSAPHAT
520 JEFFERSON DR UNIT 109
DEERFIELD BEACH, FL 33442-9455
Phone number: 155-124-8277
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