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1518082940
LABRINA F JACKSON
MONTGOMERY, AL
NPI
1518082940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 865)
Enumeration Date
2007-03-21
Last Update Date
2008-05-29
Business Address
-- LABRINA F JACKSON ATC, LAT
915 S JACKSON ST
MONTGOMERY, AL 36104-5732
Phone number: 334-229-7627
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Mailing Address
-- LABRINA F JACKSON ATC, LAT
5740 ARBOR STATION RD APT D
MONTGOMERY, AL 36117-4673
Phone number: 334-531-0158
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