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1528642063
JACKSON MARK KING
SACRAMENTO, CA
NPI
1528642063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
JACKSON MARK KING MD
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817-2207
Phone number: 916-734-5005
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Mailing Address
JACKSON MARK KING MD
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817-2207
Phone number: 916-734-5005
Copy
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