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1285886051
JON R JACKSON
ROSEBURG, OR
NPI
1285886051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-10-10
Last Update Date
2015-08-10
Business Address
JON R JACKSON
337 FOWLER ST
ROSEBURG, OR 97470
Phone number: 541-440-3532
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Mailing Address
JON R JACKSON
272 MEDICAL LOOP SUITE E
ROSEBURG, OR 97471
Phone number: 541-440-3532
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