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1265707368
ROBERT H JACKSON
BROOKLYN, NY
NPI
1265707368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015132)
Enumeration Date
2012-03-21
Last Update Date
2012-03-21
Business Address
-- ROBERT H JACKSON RPA-C
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number: 718-616-5381
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Mailing Address
-- ROBERT H JACKSON RPA-C
174 PROSPECT PARK W BSMT APT
BROOKLYN, NY 11215-6092
Phone number: 718-369-1428
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