HENRY CLARKE JACKSON

FLORENCE, AL
NPI1871610899
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  841)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
-- HENRY CLARKE JACKSON ATC
1119 VETERANS DR
FLORENCE, AL 35630-4951
Phone number: 256-762-6367
Mailing Address
-- HENRY CLARKE JACKSON ATC
1119 VETERANS DR
FLORENCE, AL 35630-4951
Phone number: 256-762-6367
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