CHARLES G JACKSON

BELLEVUE, WA
NPI1851305866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207KA0200X Allergy & Immunology, Allergy
(Licence: WA  MD00014267)
Enumeration Date2006-07-27
Last Update Date2009-07-07
Business Address
-- CHARLES G JACKSON MD
1200 112TH AVE NE SUITE C-210
BELLEVUE, WA 98004-3732
Phone number: 425-454-2191
Mailing Address
-- CHARLES G JACKSON MD
PO BOX 632
AUBURN, WA 98071-0632
Phone number: 425-454-2191
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