MIKEL JAMES JACKSON

OAKLAND, CA
NPI1679994263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2013-12-26
Last Update Date2013-12-26
Business Address
Mr. MIKEL JAMES JACKSON ATC
1832 101ST AVE
OAKLAND, CA 94603-3304
Phone number: 408-799-1230
Mailing Address
Mr. MIKEL JAMES JACKSON ATC
PO BOX 761
SAN LEANDRO, CA 94577-0435
Phone number:
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