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Individual
MR. CLAUDE NATHANIEL JACKSON IV
Active
Individual
MR. CLAUDE NATHANIEL JACKSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18700
TX
Other
Enumeration date
12/04/2006
Last updated
03/14/2011
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