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Mr. William Ivan Jackson III
Student in an Organized Health Care Education/Training Program in Colorado Springs, Colorado
NPI 1053917294

William Ivan Jackson III is a Student in an Organized Health Care Education/Training Program based in Colorado Springs, CO. William Ivan Jackson III practices in Colorado Springs, CO. The NPI Number for William Ivan Jackson III is 1053917294 and holds a License No. (Colorado).

The current practice location address for William Ivan Jackson III is 7105 Horizon Wood Ln, Colorado Springs, CO and can be reached out via phone at 719-367-0753.

Location: 7105 Horizon Wood Ln, Colorado Springs, CO, 80927-4117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053917294
Provider Name
William Ivan Jackson III
Credential
Provider Entity Type
Individual
Gender
Male
Address
7105 Horizon Wood Ln, Colorado Springs, CO, 80927-4117
Phone Number
719-367-0753
Fax Number
Provider Enumeration Date
12/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7105 Horizon Wood Ln
City
Colorado Springs
State
Colorado
Zip
80927-4117
Phone Number
719-367-0753
Fax Number
person
Provider Business Mailing Address Details
Address
7105 Horizon Wood Ln
City
Colorado Springs
State
Colorado
Zip
80927-4117
Phone Number
719-367-0753
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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