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1558367540
KIMBERLY A JACKUS
ASTORIA, NY
NPI
1558367540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 186183-1)
Enumeration Date
2005-06-23
Last Update Date
2013-09-05
Business Address
-- KIMBERLY A JACKUS MD
3127 41ST ST
ASTORIA, NY 11103-3901
Phone number: 718-721-6989
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Mailing Address
-- KIMBERLY A JACKUS MD
PO BOX 280
MILLTOWN, NJ 08850-0280
Phone number: 800-738-1659
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