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Individual

ROSE M JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 776-6100
Mailing address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 776-6100

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3740
AZ

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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