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1932177417
ROGER K JACKSON
TACOMA, WA
NPI
1932177417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: WA MD00030943)
Enumeration Date
2006-03-09
Last Update Date
2008-05-14
Business Address
DR. ROGER K JACKSON
9601 STEILACOOM BLVD SW
TACOMA, WA 98498-7213
Phone number: 253-582-8900
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Mailing Address
DR. ROGER K JACKSON
9601 STEILACOOM BLVD SW
TACOMA, WA 98498-7213
Phone number: 253-582-8900
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