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Organization
JACKSON SURGICAL ASSISTING SERVICES LLC.
Active
Organization
JACKSON SURGICAL ASSISTING SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES JACKSON RN, CNOR, RNFA (OWNER - EXECUTOR)
(207) 318-4072
Entity
Organization
Contact information
Practice address
19 CURTIS DR, WINDHAM, ME 04062-4704
(207) 318-4072
(207) 892-8184
Mailing address
19 CURTIS DR, WINDHAM, ME 04062-4704
(207) 318-4072
(207) 892-8184
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
048931
ME
Other
Enumeration date
02/05/2007
Last updated
06/16/2008
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