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Individual

JOSEPH JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2705 TAMIAMI TRL UNIT 211, PUNTA GORDA, FL 33950-6988
(941) 575-0399
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
FL
237700000X
Hearing Instrument Specialist
Primary
AS3835
FL

Other

Enumeration date
01/12/2018
Last updated
01/25/2018
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