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1326343658
DAVID R. JACKSON
MEDFORD, OR
NPI
1326343658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
-- DAVID R. JACKSON
1005 E MAIN ST
MEDFORD, OR 97504-7448
Phone number: 541-774-8135
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Mailing Address
-- DAVID R. JACKSON
1005 E MAIN ST
MEDFORD, OR 97504-7448
Phone number:
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