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1578831020
JACLYN CHRISTOFFERSON
ADVANCE, NC
NPI
1578831020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 6893)
Enumeration Date
2011-12-12
Last Update Date
2018-03-06
Business Address
JACLYN CHRISTOFFERSON
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006-7867
Phone number: 336-940-3557
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Mailing Address
JACLYN CHRISTOFFERSON
430 WILLOW RIDGE LN
WINSTON SALEM, NC 27127-9239
Phone number:
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