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1699894527
JACKSON ROUSH
CHAPEL HILL, NC
NPI
1699894527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 2088)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- JACKSON ROUSH
101 MANNING DR
CHAPEL HILL, NC 27599-0001
Phone number: 919-966-8596
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Mailing Address
-- JACKSON ROUSH
143 W FRANKLIN ST
CHAPEL HILL, NC 27516-2539
Phone number: 919-966-8596
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