DOUGLAS GILBERT JACKSON

SANTA PAULA, CA
NPI1760412241
Other NameDOUGLAS GILBERT JACKSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  320553)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
Mr. DOUGLAS GILBERT JACKSON NP
14827 FOOTHILL RD
SANTA PAULA, CA 93060-9733
Phone number: 805-525-5233
Mailing Address
Mr. DOUGLAS GILBERT JACKSON NP
14827 FOOTHILL RD
SANTA PAULA, CA 93060-9733
Phone number:
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