JIMMY DEMARIO JACKSON

WINSTON SALEM, NC
NPI1760516116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  5827)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
Mr. JIMMY DEMARIO JACKSON OTRL
5755 SHATTALON DR
WINSTON SALEM, NC 27105-1332
Phone number: 336-744-2779
Mailing Address
Mr. JIMMY DEMARIO JACKSON OTRL
1009 FILE ST
WINSTON SALEM, NC 27101-3230
Phone number: 336-331-2946
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