LEE DOUGLAS JACKSON, NP-C
Nursing at 1 St, Suncadia, WA

License number
Washington 2011003377
Category
Nursing
Type
Family
License number
Washington 5375350071
Category
Nursing
Type
Family
License number
Washington AP60602473
Category
Nursing
Type
Family
Address
Address 2
214 W 1St St, Suncadia, WA 98922
PO Box 25608, Salt Lake City, UT 84125
Phone
(509) 674-6779
(509) 674-6896 (Fax)
(206) 320-4476
(206) 568-7043 (Fax)
National Provider ID: 1053602102
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Professional information

Lee Jackson Photo 1

Independent Research Professional
Location:
Greater Salt Lake City Area
Industry:
Research

Lee Jackson Photo 2

Lee Jackson
Location:
Greater Salt Lake City Area
Industry:
Retail

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