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THEODORE JACKSON
Student in an Organized Health Care Education/Training Program
NPI: 1609563600Individual
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training ProgramPrimary
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Contact & Hours
- Address
- 2041 GEORGIA AVE NW SUITE #5-B01, DEPT OF PSYCHIATRY
WASHINGTON, DC 20060 - Phone
- (202) 865-6613
Quick Facts
- NPI
- 1609563600
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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