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1053695734
GWENDOLYN JACKO
LAS VEGAS, NV
NPI
1053695734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
-- GWENDOLYN JACKO
4435 S JONES BLVD
LAS VEGAS, NV 89103-3307
Phone number: 702-221-6224
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Mailing Address
-- GWENDOLYN JACKO
4435 S JONES BLVD
LAS VEGAS, NV 89103-3307
Phone number:
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