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1760517999
KAREN SYDNI JACKSON
LYNCHBURG, VA
NPI
1760517999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000732)
Enumeration Date
2007-02-21
Last Update Date
2017-03-31
Business Address
-- KAREN SYDNI JACKSON ATC
125 NATIONWIDE DR
LYNCHBURG, VA 24502-4272
Phone number: 434-200-6933
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Mailing Address
-- KAREN SYDNI JACKSON ATC
1482 LAKE SHORE DR
FOREST, VA 24551-2131
Phone number: 434-414-0632
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