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1083876460
DAVID JACKSON
PLYMOUTH MEETING, PA
NPI
1083876460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003604A)
Enumeration Date
2008-06-27
Last Update Date
2008-06-27
Business Address
-- DAVID JACKSON
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 800-879-4471
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Mailing Address
-- DAVID JACKSON
647 DAY BREAK DR
GREENWOOD, IN 46143-7379
Phone number: 317-385-3361
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