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Organization
JESSUP, INC
Active
Organization
JESSUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMISON JESSUP (PRESIDENT / OWNER)
(386) 801-7882
Entity
Organization
Contact information
Practice address
1642 N VOLUSIA AVE STE 201, ORANGE CITY, FL 32763-3850
(386) 628-0295
(386) 243-4581
Mailing address
1642 N VOLUSIA AVE STE 201, ORANGE CITY, FL 32763-3850
(386) 628-0295
(386) 243-4581
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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