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TIERRA JACKSON, TATTOO LICENSE

TATTOO LICENSE

Rehabilitation Practitioner

NPI: 1366267627Individual

Specialties, Licenses & Credentials

Rehabilitation Practitioner

Code: 225400000X

2021043963(MO)

Technician, Other

Code: 247200000X

2021043963(MO)

Contact & Hours

Address
3322 S CAMPBELL AVE # X
SPRINGFIELD, MO 65807

Quick Facts

NPI
1366267627
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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