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1336742469
ANGELA JACKSON
WALDORF, MD
NPI
1336742469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: MD 231822)
Enumeration Date
2020-11-20
Last Update Date
2024-06-18
Business Address
MRS. ANGELA JACKSON
2164 BONNIE LN
WALDORF, MD 20601-3902
Phone number: 202-748-1632
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Mailing Address
MRS. ANGELA JACKSON
173 SAINT PATRICKS DR STE 195
WALDORF, MD 20603-5529
Phone number: 833-764-3634
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