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Organization
JACKSON URGENT CARE PLLC
Active
Organization
JACKSON URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM H DABAJA PA-C, PH.D. (DIRECTOR/OWNER)
(517) 888-6348
Entity
Organization
Contact information
Practice address
1407 E MICHIGAN AVE, JACKSON, MI 49202-3517
(313) 377-5758
Mailing address
1407 E MICHIGAN AVE, JACKSON, MI 49202-3517
(517) 888-6348
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/10/2021
Last updated
12/19/2022
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