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1184278913
MATTHEW JACKSON
OGDEN, UT
NPI
1184278913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 126260058906)
Enumeration Date
2019-07-30
Last Update Date
2022-11-08
Business Address
MATTHEW JACKSON PA-C, MPAS
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
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Mailing Address
MATTHEW JACKSON PA-C, MPAS
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
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