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Individual
FRANCES M JACKSON
Active
Individual
FRANCES M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27505
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065342
—
IA
01
—
33710
WELLMARK BC/BS
IA
Enumeration date
09/09/2005
Last updated
12/11/2007
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