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1932791282
JAMES JACKSON
WASILLA, AK
NPI
1932791282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
JAMES JACKSON
960 E LEE ST
WASILLA, AK 99654-0502
Phone number: 907-354-5591
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Mailing Address
JAMES JACKSON
1365 E PARKS HWY STE 101
WASILLA, AK 99654-8297
Phone number: 907-357-6445
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