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1184308322
JAMES JACKSON
ALEXANDRIA, VA
NPI
1184308322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131002387)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
JAMES JACKSON COTA/L
2729 KING ST
ALEXANDRIA, VA 22302-4008
Phone number: 703-836-8838
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Mailing Address
JAMES JACKSON COTA/L
2729 KING ST
ALEXANDRIA, VA 22302-4008
Phone number: 703-836-8838
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