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1114605342
DEASIA JACKSON
MOBILE, AL
NPI
1114605342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AL 5345)
Enumeration Date
2023-07-07
Last Update Date
2023-07-07
Business Address
DEASIA JACKSON
3712 DAUPHIN ST
MOBILE, AL 36608-1725
Phone number: 251-304-3000
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Mailing Address
DEASIA JACKSON
245 CAHABA VALLEY PKWY
PELHAM, AL 35124-2216
Phone number: 205-942-6820
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