JACKSON DAVIS

DURHAM, NC
NPI1750918470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
Enumeration Date2020-03-24
Last Update Date2020-03-24
Business Address
JACKSON DAVIS
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-6874
Mailing Address
JACKSON DAVIS
2197 EAGLE TRACE LN
WOODBURY, MN 55129-4287
Phone number: 949-705-7395
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