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1922414291
MARCELINA JACKSON
COLUMBIA, SC
NPI
1922414291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: SC 982)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
Mrs. MARCELINA JACKSON
2000 HAMPTON ST
COLUMBIA, SC 29204-1002
Phone number: 803-576-2900
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Mailing Address
Mrs. MARCELINA JACKSON
2000 HAMPTON ST
COLUMBIA, SC 29204-1002
Phone number: 803-576-2900
Copy
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