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1043925258
COURTNEY JACKSON
FAYETTEVILLE, NC
NPI
1043925258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224ZE0001X Occupational Therapy Assistant, Environmental Modification
(Licence: NC 13569)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
COURTNEY JACKSON
231 TREETOP DR # 301
FAYETTEVILLE, NC 28311-0606
Phone number: 951-870-5501
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Mailing Address
COURTNEY JACKSON
411 N BALLANCE ST
SAINT PAULS, NC 28384-1211
Phone number:
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