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1124855754
ALEXIS R JACKSON
JACKSONVILLE, FL
NPI
1124855754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PTA29421)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
ALEXIS R JACKSON
11391 SQUARE ST UNIT 2312
JACKSONVILLE, FL 32256-4099
Phone number: 404-558-7348
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Mailing Address
ALEXIS R JACKSON
11391 SQUARE ST UNIT 6114
JACKSONVILLE, FL 32256-4123
Phone number: 404-558-7348
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