DESHAUN JACKSON

DAVISON, MI
NPI1134652456
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502004671)
Enumeration Date2017-04-04
Last Update Date2017-04-04
Business Address
DESHAUN JACKSON
709 OLIVIA DR
DAVISON, MI 48423-1248
Phone number: 810-449-8321
Mailing Address
DESHAUN JACKSON
709 OLIVIA DR
DAVISON, MI 48423-1248
Phone number: 810-449-8321
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