JOHN JACKSON

SANTA CRUZ, CA
NPI1780664557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  G45443)
Enumeration Date2006-01-18
Last Update Date2007-07-08
Business Address
-- JOHN JACKSON
2025 SOQUEL AVE
SANTA CRUZ, CA 95062-1323
Phone number: 831-458-5820
Mailing Address
-- JOHN JACKSON
PO BOX 1833
SANTA CRUZ, CA 95061-1833
Phone number:
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