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Mr. Bruce L Jackson
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NPI Number Detailed Information
Provider Information:
Name: | Mr. Bruce L Jackson |
Gender: | M |
Provider License Number If Given: | PA14185 |
NPI Information:
NPI: | 1124072087 |
Entity Type(Individual or Organization): | 1-ind |
Enumeration Date: | 5/22/2006 |
Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
Address: | 11919 HESPERIA RD Hesperia, CA 92345 |
Phone Number: | 7609481454 |
Fax Number: | 7609486100 |
Provider Business Practice Location Address:
Address: | 15863 KASOTA RD Apple Valley, CA 92307 |
Phone Number: | 7609481454 |
Fax Number: | 7609486100 |
Provider Taxonomy:
Primary: | 363AM0700X |
Secondary (if any): | |
State: | CA |
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About Mr. Bruce L Jackson
Mr. Bruce L Jackson (MR. BRUCE L JACKSON ) is Definition Physician Assistant Physician in Apple Valley, CA.
The NPI Number for Mr. Bruce L Jackson is 1124072087.
The current location address for Mr. Bruce L Jackson is 15863 KASOTA RD Apple Valley, CA 92307 and the contact number is 7609481454 and fax number is 7609486100.
The mailing address for Mr. Bruce L Jackson is 11919 HESPERIA RD Hesperia, CA 92345- 7609481454 (mailing address contact number - 7609481454).
Definition to come...
Provider Business Location on Map
FAQs:
What is the NPI Number for Mr. Bruce L Jackson ?
Answer: The NPI Number for Mr. Bruce L Jackson is 1124072087
Where is Mr. Bruce L Jackson located?
Answer: Mr. Bruce L Jackson is located at 15863 KASOTA RD Apple Valley, CA 92307.
What is the specialty for Mr. Bruce L Jackson ?
Answer: The Specialty of Mr. Bruce L Jackson is Definition Physician Assistant Physician.
Are there any online reviews for Mr. Bruce L Jackson ?
Answer: Not yet!
Are there any other health care providers in Apple Valley, CA?
Answer: Yes, there are given below...
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Mr. Bruce L Jackson in Other Directories
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