JON R JACKSON

ROSEBURG, OR
NPI1285886051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2008-10-10
Last Update Date2015-08-10
Business Address
-- JON R JACKSON
337 FOWLER ST
ROSEBURG, OR 97470
Phone number: 541-440-3532
Mailing Address
-- JON R JACKSON
272 MEDICAL LOOP SUITE E
ROSEBURG, OR 97471
Phone number: 541-440-3532
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