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1144680240
JACKSON MEDICAL CLINIC LLC
SEATTLE, WA
NPI
1144680240
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Entity Type
Organization
Authorized Contact
DAVID PHAM
Md
206-324-8469
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
JACKSON MEDICAL CLINIC LLC
1200 S JACKSON ST SUITE 27
SEATTLE, WA 98144-2026
Phone number: 206-324-8469
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Mailing Address
JACKSON MEDICAL CLINIC LLC
1200 S JACKSON ST SUITE 27
SEATTLE, WA 98144-2026
Phone number: 206-324-8469
Copy
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