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1235881988
JOSHUA K JACKSON
SPOKANE, WA
NPI
1235881988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
JOSHUA K JACKSON
5901 N LIDGERWOOD ST
SPOKANE, WA 99208-5095
Phone number: 509-838-4651
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Mailing Address
JOSHUA K JACKSON
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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