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1598512428
SUMMER LEE JACKSON
JOHNSON CITY, TN
NPI
1598512428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
SUMMER LEE JACKSON DO
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604-6171
Phone number: 423-439-7201
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Mailing Address
SUMMER LEE JACKSON DO
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604-6171
Phone number: 423-439-7201
Copy
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