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Jackson
Jackson
Reddick
Dental
Babson Park, United States
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Florida Health Care Practitioner Data Portal
Full name
JACKSON REDDICK
Job Title
Dental
Location
Babson Park, FL, USA
LIC ID
25321
Current License Expiration Date
28/02/2024
Original Date
16/06/2020
Professional Rank Code
DN
Effective Date
16/06/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
POLK
Practice Location Address Line 1
440 Buck Moore Rd
Practice Location Address City
LAKE WALES
Practice Location Address State
FL
Practice Location Address Zipcode
33853
Prescribing Indicator
N
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