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1184164493
JOHN JACKSON
NEWPORT, WA
NPI
1184164493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: WA PARA.ED.00104712)
Enumeration Date
2017-03-06
Last Update Date
2017-03-06
Business Address
-- JOHN JACKSON
137 S NEWPORT AVE
NEWPORT, WA 99156-1942
Phone number: 509-447-1200
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Mailing Address
-- JOHN JACKSON
PO BOX 1942
NEWPORT, WA 99156-1942
Phone number: 509-447-1200
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