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1346763786
JACKSON B AUSTIN
MADISON, WV
NPI
1346763786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 2052)
Enumeration Date
2017-07-18
Last Update Date
2017-07-18
Business Address
Mr. JACKSON B AUSTIN PA-C
701 MADISON AVE
MADISON, WV 25130-1669
Phone number: 304-369-1230
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Mailing Address
Mr. JACKSON B AUSTIN PA-C
9336 S MOUNTAIN RD
POUND, VA 24279-4735
Phone number:
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