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1881266559
ZACHARY LYNN JACKSON
KINGSPORT, TN
NPI
1881266559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 12716)
Enumeration Date
2021-07-13
Last Update Date
2021-07-14
Business Address
Dr. ZACHARY LYNN JACKSON
1661 NEWBERN RD
KINGSPORT, TN 37664-3137
Phone number: 423-335-0535
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Mailing Address
Dr. ZACHARY LYNN JACKSON
1661 NEWBERN RD
KINGSPORT, TN 37664-3137
Phone number: 423-335-0535
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