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1447728910
ERIC JACKSON
BIRMINGHAM, AL
NPI
1447728910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 2170)
Enumeration Date
2018-11-02
Last Update Date
2018-11-02
Business Address
ERIC JACKSON ATC
1219 6TH AVE S
BIRMINGHAM, AL 35233
Phone number: 205-975-9256
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Mailing Address
ERIC JACKSON ATC
607 OAKS DR
BIRMINGHAM, AL 35209-6985
Phone number:
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