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1932947488
KHALED JACKSON
SACRAMENTO, CA
NPI
1932947488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95859029)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
KHALED JACKSON RN
650 HOWE AVE # 400-A
SACRAMENTO, CA 95825-4731
Phone number: 916-441-0123
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Mailing Address
KHALED JACKSON RN
PO BOX 348563
SACRAMENTO, CA 95834-8563
Phone number: 708-516-0727
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