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Individual

JULIA JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1925 PACIFIC AVE FL 8, ATLANTIC CITY, NJ 08401-6713
(609) 441-8127
Mailing address
1925 PACIFIC AVE., FL 8, ATLANTIC CITY, NJ 08401
(609) 441-8127

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/19/2017
Last updated
06/12/2017
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