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1386624484
DOUGLAS W JACKSON
LONG BEACH, CA
NPI
1386624484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G13338)
Enumeration Date
2006-01-17
Last Update Date
2007-07-08
Business Address
-- DOUGLAS W JACKSON M.D.
2760 ATLANTIC AVE
LONG BEACH, CA 90806-2755
Phone number: 562-424-6666
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Mailing Address
-- DOUGLAS W JACKSON M.D.
2760 ATLANTIC AVE
LONG BEACH, CA 90806-2755
Phone number: 562-424-6666
Copy
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