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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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