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1609960087
JAMIE A JACKSON
ALBUQUERQUE, NM
NPI
1609960087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NM MD20050099)
Enumeration Date
2006-10-03
Last Update Date
2021-12-09
Business Address
JAMIE A JACKSON MD
1100 CENTRAL AVE SE FL 4B PMG HOSPITALISTS
ALBUQUERQUE, NM 87106-4930
Phone number: 505-724-6124
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Mailing Address
JAMIE A JACKSON MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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