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1295176030
STEPHANIE JACKSON
POMPANO BEACH, FL
NPI
1295176030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2013-07-09
Last Update Date
2013-07-09
Business Address
-- STEPHANIE JACKSON
2708 NE 14TH ST APT 5
POMPANO BEACH, FL 33062-3564
Phone number: 888-880-9270
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Mailing Address
-- STEPHANIE JACKSON
1602 JACKSON ST
LAKE CHARLES, LA 70601-2462
Phone number: 337-488-5713
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