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1538654140
ALICE JACKSON
LEXINGTON, SC
NPI
1538654140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 9198)
Enumeration Date
2018-06-26
Last Update Date
2018-09-26
Business Address
ALICE JACKSON PT
800 N LAKE DR
LEXINGTON, SC 29072-2903
Phone number: 877-407-3422
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Mailing Address
ALICE JACKSON PT
7 CARNEGIE PLZ
CHERRY HILL, NJ 08003-1000
Phone number: 877-407-3422
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