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1356078075
CARRIE JACKA
BRANDON, FL
NPI
1356078075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
CARRIE JACKA
1465 OAKFIELD DR
BRANDON, FL 33511-4854
Phone number: 509-847-8847
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Mailing Address
CARRIE JACKA
9513 DELANEY CREEK BLVD APT 201
TAMPA, FL 33619-5181
Phone number: 509-847-8847
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