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1447521539
SASA K JACKSON
MOORE, OK
NPI
1447521539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2107)
Enumeration Date
2012-01-20
Last Update Date
2012-01-20
Business Address
-- SASA K JACKSON PA-C
1400 SE 4TH ST STE H
MOORE, OK 73160-7329
Phone number: 405-799-7400
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Mailing Address
-- SASA K JACKSON PA-C
1400 SE 4TH ST STE H
MOORE, OK 73160-7329
Phone number: 405-799-7400
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