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1225523665
DAVID STEVEN JACKSON
YUMA, AZ
NPI
1225523665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
DAVID STEVEN JACKSON
2400 S AVENUE A
YUMA, AZ 85364-7127
Phone number: 928-336-7505
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Mailing Address
DAVID STEVEN JACKSON
3376 E STONEHILL LN
SALT LAKE CITY, UT 84121-5864
Phone number: 801-647-3394
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