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1760719694
ASHLEE BROOKE JACKSON
MANCHESTER, KY
NPI
1760719694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02403)
Enumeration Date
2009-11-13
Last Update Date
2009-11-13
Business Address
-- ASHLEE BROOKE JACKSON P.T.A
376 MANCHESTER SQUARE SHOPPING CENTER
MANCHESTER, KY 40962
Phone number: 606-599-1709
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Mailing Address
-- ASHLEE BROOKE JACKSON P.T.A
PO BOX 160
MANCHESTER, KY 40962-0160
Phone number: 606-598-7673
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