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1427381862
JEANICE JACKSON
CORDOVA, TN
NPI
1427381862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2009-09-17
Last Update Date
2009-09-17
Business Address
-- JEANICE JACKSON
1581 FARKLEBERRY DR
CORDOVA, TN 38016-0605
Phone number: 901-754-1774
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Mailing Address
-- JEANICE JACKSON
1581 FARKLEBERRY DR
CORDOVA, TN 38016-0605
Phone number: 901-754-1774
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