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1083850911
LORENDA DELORIS JACKSON
KERNERSVILLE, NC
NPI
1083850911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 5397)
Enumeration Date
2008-12-24
Last Update Date
2013-02-01
Business Address
Ms. LORENDA DELORIS JACKSON OTR/L
8009 HILL N DALE DR
KERNERSVILLE, NC 27284-9853
Phone number: 336-624-6519
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Mailing Address
Ms. LORENDA DELORIS JACKSON OTR/L
325 W MOUNTAIN ST
KERNERSVILLE, NC 27285-0807
Phone number: 336-624-6519
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