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1083017297
TRALICE JACKSON
NORTH LAS VEGAS, NV
NPI
1083017297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-10-01
Last Update Date
2014-10-01
Business Address
-- TRALICE JACKSON
5665 MOUNT ATHOS ST
NORTH LAS VEGAS, NV 89031-3449
Phone number: 702-773-3547
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Mailing Address
-- TRALICE JACKSON
5665 MOUNT ATHOS ST
NORTH LAS VEGAS, NV 89031-3449
Phone number:
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