EDGAR J JACKSON

BALDWIN PARK, CA
NPI1548386790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA10556)
Enumeration Date2007-03-21
Last Update Date2008-09-23
Business Address
EDGAR J JACKSON PA
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
Mailing Address
EDGAR J JACKSON PA
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
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