JACKIE DIXON

LAKE CITY, FL
NPI1972963544
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA 10161)
Enumeration Date2016-02-25
Last Update Date2016-02-25
Business Address
-- JACKIE DIXON
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Mailing Address
-- JACKIE DIXON
189 W 61ST ST
JACKSONVILLE, FL 32208-4652
Phone number: 904-236-1171
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