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1356376230
DANIEL B JACKSON
WAUSAU, WI
NPI
1356376230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1074)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
-- DANIEL B JACKSON P.A.
2720 PLAZA DR SUITE 1100
WAUSAU, WI 54401-4158
Phone number: 715-847-2472
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Mailing Address
-- DANIEL B JACKSON P.A.
3000 WESTHILL DR SUITE 303
WAUSAU, WI 54401-3795
Phone number:
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