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1760582720
LAURA R. JACKSON
DICKSON, TN
NPI
1760582720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 02023)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
Mrs. LAURA R. JACKSON L.P.T.A.
812 N CHARLOTTE ST
DICKSON, TN 37055-1009
Phone number: 615-446-8046
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Mailing Address
Mrs. LAURA R. JACKSON L.P.T.A.
1210 HARRIS HOLLOW RD
CHARLOTTE, TN 37036-5450
Phone number: 615-218-4094
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