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Carolyn Jackson12

NPI 1255077574 · on the registry since 2022 · sole proprietor

Practice

Address
6835 Huntington Hills Blvd
Lakeland, FL 33810
Phone
(863) 602-4686

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Sex
Female
Record last updated
2022-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida