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1922244060
JACKSON FAMILY PRACTICE LLC
FREEHOLD, NJ
NPI
1922244060
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Entity Type
Organization
Authorized Contact
MIAH KIM
Owner
732-683-0010
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ 25MB05981900)
Enumeration Date
2008-12-19
Last Update Date
2018-06-21
Business Address
JACKSON FAMILY PRACTICE LLC
80 SCENIC DR SUITE 6
FREEHOLD, NJ 07728-5210
Phone number: 732-683-0010
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Mailing Address
JACKSON FAMILY PRACTICE LLC
80 SCENIC DR SUITE 6
FREEHOLD, NJ 07728-5210
Phone number: 732-683-0010
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