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1770104606
MARKUS JACKSON MD INC
MODESTO, CA
NPI
1770104606
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Entity Type
Organization
Authorized Contact
MARKUS R JACKSON
President
706-288-8683
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2020-05-01
Last Update Date
2020-05-01
Business Address
MARKUS JACKSON MD INC
4016 DALE RD
MODESTO, CA 95356-9268
Phone number: 706-288-8683
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Mailing Address
MARKUS JACKSON MD INC
2412 37TH ST
SACRAMENTO, CA 95817-1302
Phone number: 706-288-8683
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