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1447213996
CHARLES BRADFORD JACKSON
ARLINGTON, VA
NPI
1447213996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: VA 0101024618)
Enumeration Date
2006-04-07
Last Update Date
2011-12-08
Business Address
Dr. CHARLES BRADFORD JACKSON MD
2501 N GLEBE RD SUITE 201
ARLINGTON, VA 22207-3558
Phone number: 703-525-1911
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Mailing Address
Dr. CHARLES BRADFORD JACKSON MD
251 BLISS LN
GREAT FALLS, VA 22066-3221
Phone number: 703-759-4109
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