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1720864994
STACY JACKSON
WASHINGTON, DC
NPI
1720864994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
STACY JACKSON
1100 H ST NW
WASHINGTON, DC 20005-5476
Phone number: 888-701-3131
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Mailing Address
STACY JACKSON
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number: 888-701-3131
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