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1235658998
COURTNEY MARIE JACKSON
ALBUQUERQUE, NM
NPI
1235658998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL.0015107)
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
Dr. COURTNEY MARIE JACKSON
9150 MCMAHON BLVD NW
ALBUQUERQUE, NM 87114-5201
Phone number: 816-262-7124
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Mailing Address
Dr. COURTNEY MARIE JACKSON
16002 COUNTY ROAD 311
SAVANNAH, MO 64485-2234
Phone number:
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