WAYNE JEFFERY JACKSON

POTSDAM, NY
NPI1750387023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  004496)
Enumeration Date2005-06-22
Last Update Date2021-03-31
Business Address
WAYNE JEFFERY JACKSON PA
50 LEROY ST
POTSDAM, NY 13676-1786
Phone number: 315-265-3300
Mailing Address
WAYNE JEFFERY JACKSON PA
50 LEROY ST
POTSDAM, NY 13676-1786
Phone number: 315-265-3300
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