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Individual
ISAAC T. JACKSON
Active
Individual
ISAAC T. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATHLETIC TRAINER
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1241364241
MD
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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