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1467612325
MARK ALAN JACKSON
CHICO, CA
NPI
1467612325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA19715)
Enumeration Date
2008-06-13
Last Update Date
2011-12-19
Business Address
-- MARK ALAN JACKSON PA
680 COHASSET RD
CHICO, CA 95926-2213
Phone number: 530-342-4395
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Mailing Address
-- MARK ALAN JACKSON PA
PO BOX A D
YUBA CITY, CA 95992-1396
Phone number: 530-751-3769
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