BRIAN JAMES JACKSON

SAN DIEGO, CA
NPI1194985861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-06-16
Last Update Date2008-06-16
Business Address
-- BRIAN JAMES JACKSON IDC
35000 GUADALCANAL AVE
SAN DIEGO, CA 92140-5599
Phone number: 619-524-4045
Mailing Address
-- BRIAN JAMES JACKSON IDC
35000 GUADALCANAL AVE
SAN DIEGO, CA 92140-5599
Phone number: 619-524-4045
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