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Individual

MRS. ANGELA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
915 SHERIDAN ST., PORT TOWNSEND, WA 98368
(360) 379-8031
(360) 379-4383
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368
(360) 379-8031
(360) 379-4383

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60638952
WA

Other

Enumeration date
04/30/2014
Last updated
06/07/2021
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