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1295754109
ALICE JACKSON
FRESNO, CA
NPI
1295754109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 358153)
Enumeration Date
2006-07-19
Last Update Date
2007-12-14
Business Address
-- ALICE JACKSON RN NP
6121 N THESTA SUITE 303
FRESNO, CA 93710-5294
Phone number: 559-228-5448
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Mailing Address
-- ALICE JACKSON RN NP
PO BOX 28947
FRESNO, CA 93729-8947
Phone number: 559-228-5448
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