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1801813407
PAMELA DAWN RANDOLPH JACKSON
WASHINGTON, DC
NPI
1801813407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: DC DC 19357)
Enumeration Date
2006-07-17
Last Update Date
2011-12-23
Business Address
-- PAMELA DAWN RANDOLPH JACKSON MD
110 IRVING ST NW
WASHINGTON, DC 20010
Phone number: 800-353-0788
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Mailing Address
-- PAMELA DAWN RANDOLPH JACKSON MD
12605 WILLOW MARSH LANE
BOWIE, MD 20720
Phone number: 301-262-1528
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