SHARON JACK

MISSION VIEJO, CA
NPI1831348663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  18311)
Enumeration Date2008-09-17
Last Update Date2011-03-02
Business Address
-- SHARON JACK FNP
25272 MARGUERITE PKWY
MISSION VIEJO, CA 92692-2901
Phone number: 612-225-1512
Mailing Address
-- SHARON JACK FNP
1 CVS DR ATTN: MINUTECLINIC CREDENTIALING-2100
WOONSOCKET, RI 02895-6146
Phone number: 612-225-1512
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