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1174530638
DANA JACKSON
BREMERTON, WA
NPI
1174530638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00007115)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- DANA JACKSON
2500 CHERRY AVE STE 203
BREMERTON, WA 98310-4202
Phone number: 360-792-1015
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Mailing Address
-- DANA JACKSON
19319 7TH AVE NE STE 100
POULSBO, WA 98370-7442
Phone number:
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