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1255314787
DIANNE RUTH JACKSON
CHARLOTTE, NC
NPI
1255314787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NC 4275)
Enumeration Date
2005-11-29
Last Update Date
2010-05-13
Business Address
Ms. DIANNE RUTH JACKSON PT
1001 BLYTHE BLVD SUITE 200
CHARLOTTE, NC 28203-5863
Phone number: 704-323-2000
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Mailing Address
Ms. DIANNE RUTH JACKSON PT
4601 PARK RD SUITE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2000
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