Individual
GUDRUN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1005 E STATE ST STE E, ATHENS, OH 45701-2151
(740) 677-9872
Mailing address
7597 N COOLVILLE RIDGE RD, ATHENS, OH 45701-9432
(614) 208-3141
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65.000441
OH
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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