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1992149066
JOHNETTA JACKSON
ROCKVILLE, MD
NPI
1992149066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A2691)
Enumeration Date
2013-04-19
Last Update Date
2013-04-19
Business Address
-- JOHNETTA JACKSON PTA
9701 MEDICAL CENTER DR
ROCKVILLE, MD 20850-3326
Phone number: 301-315-1900
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Mailing Address
-- JOHNETTA JACKSON PTA
9701 MEDICAL CENTER DR
ROCKVILLE, MD 20850-3326
Phone number:
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