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1841426988
JACKIE ELIZABETH HUCKS
SOUTHERN PINES, NC
NPI
1841426988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602557)
Enumeration Date
2009-06-03
Last Update Date
2021-11-03
Business Address
JACKIE ELIZABETH HUCKS PTA
100 E RHODE ISLAND AVE
SOUTHERN PINES, NC 28387-4935
Phone number: 910-692-0371
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Mailing Address
JACKIE ELIZABETH HUCKS PTA
1307 IMBODEN DR
FRONT ROYAL, VA 22630-5343
Phone number: 434-996-4008
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