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1659537512
CRAIG JACKSON
CHARLESTON, SC
NPI
1659537512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 981)
Enumeration Date
2008-07-31
Last Update Date
2008-07-31
Business Address
Mr. CRAIG JACKSON COTA/L
2423 CASTLEREAGH RD
CHARLESTON, SC 29414-6134
Phone number: 843-819-9470
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Mailing Address
Mr. CRAIG JACKSON COTA/L
2423 CASTLEREAGH RD
CHARLESTON, SC 29414-6134
Phone number: 843-819-9470
Copy
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