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Individual

RACHEL JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 872-7171
Mailing address
PO BOX 943, SABATTUS, ME 04280-0943

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022
ME
363A00000X
Physician Assistant
NY

Other

Enumeration date
01/30/2019
Last updated
12/03/2022
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