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Individual
ROSEMARY JACKSON
Active
Individual
ROSEMARY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101047114
VA
207Q00000X
Family Medicine Physician
263617
NY
207Q00000X
Family Medicine Physician
35379
NC
207Q00000X
Family Medicine Physician
Primary
ME92761
FL
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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