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1639299290
LISA A JACKSON
SEATTLE, WA
NPI
1639299290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: WA MD00027646)
Enumeration Date
2007-03-29
Last Update Date
2009-09-30
Business Address
-- LISA A JACKSON M.D.
1730 MINOR AVE
SEATTLE, WA 98101-1498
Phone number: 206-442-5216
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Mailing Address
-- LISA A JACKSON M.D.
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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