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1154394039
MICHAEL DARREN JACKSON
MESA, AZ
NPI
1154394039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 1987)
Enumeration Date
2006-02-10
Last Update Date
2013-07-23
Business Address
-- MICHAEL DARREN JACKSON P.A.
6644 E. BAYWOOD AVE. BANNER BAYWOOD EMERGENCY DEPARTMENT
MESA, AZ 85206
Phone number: 480-321-0183
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Mailing Address
-- MICHAEL DARREN JACKSON P.A.
5000 HOPYARD ROAD, SUITE 100 TEAM HEALTH, INC.
PLEASANTON, CA 94588
Phone number: 800-617-7717
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