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1336140938
JACK JERRY SALAH
JACKSONVILLE, FL
NPI
1336140938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine Pulmonary Disease
(Licence: FL ME0041346)
Enumeration Date
2005-08-03
Last Update Date
2010-01-25
Business Address
DR. JACK JERRY SALAH M.D.
3599 UNIVERSITY BLVD S SUITE 901
JACKSONVILLE, FL 32216-4252
Phone number: 904-398-6971
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Mailing Address
DR. JACK JERRY SALAH M.D.
8236 SHADY GROVE RD
JACKSONVILLE, FL 32256-7361
Phone number: 904-645-9655
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