Individual
DR. REBECCA R JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12203 ABERDEEN ST NE STE 140, BLAINE, MN 55449-4719
(763) 785-4120
(763) 785-4172
Mailing address
2740 BRUNSWICK AVE S, ST LOUIS PARK, MN 55416-1819
(651) 343-0171
(763) 785-4172
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
4292
MN
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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