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1417073552
CHARLENE J. JACKSON
ASHTABULA, OH
NPI
1417073552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH PT01263)
Enumeration Date
2007-03-21
Last Update Date
2024-08-15
Business Address
CHARLENE J. JACKSON PT
416 W 27TH ST
ASHTABULA, OH 44004-4975
Phone number: 440-997-5427
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Mailing Address
CHARLENE J. JACKSON PT
416 W 27TH ST
ASHTABULA, OH 44004-4975
Phone number: 440-997-5427
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