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Individual

JANET JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EAMP

Contact information

Practice address
5 MORGAN HWY STE 4, SCRANTON, PA 18508-2641
(570) 253-3788
Mailing address
PO BOX 45, YODER, KS 67585-0045
(408) 455-8415

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14562
CA
171100000X
Acupuncturist
AC60248749
WA
171100000X
Acupuncturist
KO000657
PA

Other

Enumeration date
11/07/2011
Last updated
09/04/2013
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