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1063667053
HENRY JACKSON
BROOKLYN, NY
NPI
1063667053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 003461)
Enumeration Date
2008-11-18
Last Update Date
2008-11-18
Business Address
Mr. HENRY JACKSON P.T.
5605 TILDEN AVE
BROOKLYN, NY 11203-4819
Phone number: 718-451-2905
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Mailing Address
Mr. HENRY JACKSON P.T.
5605 TILDEN AVE
BROOKLYN, NY 11203-4819
Phone number: 718-451-2905
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