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1487823324
KEITH A JACKSON MD LIMITED
SAN DIEGO, CA
NPI
1487823324
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Entity Type
Organization
Authorized Contact
LISA MARIE BAKER
Office Manager
858-279-4221
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G58187)
Enumeration Date
2008-02-25
Last Update Date
2008-02-25
Business Address
KEITH A JACKSON MD LIMITED
8010 FROST ST 503
SAN DIEGO, CA 92123-2778
Phone number: 858-279-4221
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Mailing Address
KEITH A JACKSON MD LIMITED
8010 FROST ST 503
SAN DIEGO, CA 92123-2778
Phone number: 858-279-4221
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