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1063692531
NINA JACKSON
CHARLOTTESVILLE, VA
NPI
1063692531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305004961)
Enumeration Date
2007-11-13
Last Update Date
2022-07-21
Business Address
-- NINA JACKSON PT
716 LEVY AVE
CHARLOTTESVILLE, VA 22902-5730
Phone number: 703-625-1027
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Mailing Address
-- NINA JACKSON PT
716 LEVY AVE
CHARLOTTESVILLE, VA 22902-5730
Phone number: 703-625-1027
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