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1205111317
KELLY A JACKSON
SCOTTSDALE, AZ
NPI
1205111317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP4200)
Enumeration Date
2011-10-20
Last Update Date
2011-10-20
Business Address
-- KELLY A JACKSON NP-C
7400 E OSBORN RD
SCOTTSDALE, AZ 85251-6432
Phone number: 480-882-6958
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Mailing Address
-- KELLY A JACKSON NP-C
7400 E OSBORN RD
SCOTTSDALE, AZ 85251-6432
Phone number: 480-882-6958
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