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1730167917
CHARLES F JACKSON
SAN DIEGO, CA
NPI
1730167917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: PA AT-001058-L)
Enumeration Date
2006-01-06
Last Update Date
2007-07-08
Business Address
Mr. CHARLES F JACKSON
34800 BOB WILSON DRIVE NAVAL MEDICAL CENTER, SAN DIEGO
SAN DIEGO, CA 92134-5000
Phone number: 619-524-4904
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Mailing Address
Mr. CHARLES F JACKSON
6320 LAKE ATHABASKA PL
SAN DIEGO, CA 92119-3527
Phone number: 619-465-4621
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