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TARA JACKSON, CPO
CPO
Prosthetist
NPI: 1851255764Individual
Specialties, Licenses & Credentials
ProsthetistPrimary
Prosthetist
Code: 224P00000X
CPO04857(ME)
Contact & Hours
- Address
- 1274 CONGRESS ST
PORTLAND, ME 04102 - Phone
- (207) 774-1002
Quick Facts
- NPI
- 1851255764
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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