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1285750190
JO A JACKSON
SEATTLE, WA
NPI
1285750190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00020270)
Enumeration Date
2007-03-22
Last Update Date
2012-01-12
Business Address
-- JO A JACKSON MD
4245 ROOSEVELT WAY NE
SEATTLE, WA 98105-6008
Phone number: 206-598-4055
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Mailing Address
-- JO A JACKSON MD
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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