RUSSELL JACKSON, AT

AT

NPI: 1932622867Individual

Specialties, Licenses & Credentials

Athletic TrainerPrimary

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

AT0005240(OH)

Contact & Hours

Address: 406 SHERIDAN FOREST RD
GOLDSBORO, NC 27534
Phone: (419) 215-8888

Quick Facts

NPI: 1932622867
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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