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Individual

JACKSON CARL ROSSBOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4653
Mailing address
101 MANNING DR 4008 BURNETT WOMACK BLDG CB 7228, CHAPEL HILL, NC 27599-4220
(919) 966-4653

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/22/2024
Last updated
04/22/2024
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