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Carla Jackson
NPI 1437573557 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3410 Cochran Dr # C
Colorado Springs, CO 80916 - Phone
- (719) 292-2290
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-02-10
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 Colorado