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1336107408
DEBORAH A JACKSON
ST AUGUSTINE, FL
NPI
1336107408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT11000)
Enumeration Date
2006-05-01
Last Update Date
2012-10-19
Business Address
Dr. DEBORAH A JACKSON PhD,PT, OCS,CMP, ATC
319 W TOWN PL SUITE 5
ST AUGUSTINE, FL 32092-3101
Phone number: 904-342-5262
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Mailing Address
Dr. DEBORAH A JACKSON PhD,PT, OCS,CMP, ATC
319 W TOWN PL SUITE 5
ST AUGUSTINE, FL 32092-3101
Phone number: 904-342-5262
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