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1124878301
JACKSON LANCE RANKIN
WINSTON SALEM, NC
NPI
1124878301
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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
2024-03-22
Last Update Date
2024-03-22
Business Address
JACKSON LANCE RANKIN MD
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2011
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Mailing Address
JACKSON LANCE RANKIN MD
1654 OVERBROOK RD APT B10
RICHMOND, VA 23220-1362
Phone number: 540-230-9232
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