J KELSEY JACKSON

PASCO, WA
NPI1861485773
Former NameJ KELSEY LAWELLIN-JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA10003084)
Enumeration Date2005-08-25
Last Update Date2007-11-14
Business Address
-- J KELSEY JACKSON PA -C
520 N 4TH AVE PULMONARY SVCS
PASCO, WA 99301-5257
Phone number: 509-544-6140
Mailing Address
-- J KELSEY JACKSON PA -C
520 N 4TH AVE PULMONARY SVCS
PASCO, WA 99301-5257
Phone number: 509-544-6140
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