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1255449658
SUSAN T JACKSON
KANSAS CITY, KS
NPI
1255449658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KS 480)
Enumeration Date
2006-08-26
Last Update Date
2009-06-12
Business Address
-- SUSAN T JACKSON PhD, MSC
3901 RAINBOW BLVD MSC 4043 2032 SCHOOL OF NURSING
KANSAS CITY, KS 66160-0001
Phone number: 866-249-9736
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Mailing Address
-- SUSAN T JACKSON PhD, MSC
PO BOX 307
STILWELL, KS 66085-0307
Phone number: 913-522-4894
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