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1245911767
BECKY A JACKS
WALDORF, MD
NPI
1245911767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R232693)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
BECKY A JACKS
11100 BILLINGSLEY RD
WALDORF, MD 20602-3400
Phone number: 301-357-4199
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Mailing Address
BECKY A JACKS
11100 BILLINGSLEY RD
WALDORF, MD 20602-3400
Phone number: 301-357-4199
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