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1033290226
JASON JACKSON
NEW YORK, NY
NPI
1033290226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 020225)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. JASON JACKSON P.T.
1468 MADISON AVENUE
NEW YORK, NY 10029-6574
Phone number: 212-241-8045
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Mailing Address
Mr. JASON JACKSON P.T.
257 W 121ST ST
NEW YORK, NY 10027-6218
Phone number: 212-241-8045
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