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1982715207
BENJAMIN K JACKSON
SEATTLE, WA
NPI
1982715207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA ML20008448)
Enumeration Date
2006-08-31
Last Update Date
2013-11-26
Business Address
-- BENJAMIN K JACKSON
2671 NE 46TH ST
SEATTLE, WA 98105-5041
Phone number: 206-585-8000
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Mailing Address
-- BENJAMIN K JACKSON
1100 9TH AVE MS: M4-PFS
SEATTLE, WA 98101-2756
Phone number: 206-515-5811
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