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1619217536
VASHON JACKSON
CHARLOTTE, NC
NPI
1619217536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL 13891)
Enumeration Date
2013-03-01
Last Update Date
2013-03-01
Business Address
-- VASHON JACKSON OT
309 E MOREHEAD ST STE 200
CHARLOTTE, NC 28202-2325
Phone number: 704-285-7471
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Mailing Address
-- VASHON JACKSON OT
132 PALM CIR
MELBOURNE, FL 32940-7208
Phone number:
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