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1588900443
JENAE JACKSON
LAKELAND, FL
NPI
1588900443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT27400)
Enumeration Date
2012-12-21
Last Update Date
2012-12-21
Business Address
-- JENAE JACKSON
3317 US HIGHWAY 98 S STE 6
LAKELAND, FL 33803-8316
Phone number: 863-667-3092
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Mailing Address
-- JENAE JACKSON
3317 US HIGHWAY 98 S STE 6
LAKELAND, FL 33803-8316
Phone number:
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