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1326871518
EMMANUEL JACKSON
ALEXANDRIA, VA
NPI
1326871518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305216707)
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
EMMANUEL JACKSON
1561 POTOMAC GREENS DR STE 1A
ALEXANDRIA, VA 22314-6255
Phone number: 703-717-7667
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Mailing Address
EMMANUEL JACKSON
1150 N FAYETTE ST APT 2517
ALEXANDRIA, VA 22314-2386
Phone number:
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