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1235306143
JOSEPH JACKSON
GARDENA, CA
NPI
1235306143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT5788)
Enumeration Date
2008-05-09
Last Update Date
2008-05-09
Business Address
Mr. JOSEPH JACKSON R.P.T.
15640 S NORMANDIE AVE
GARDENA, CA 90247-4016
Phone number: 310-631-8703
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Mailing Address
Mr. JOSEPH JACKSON R.P.T.
1954 ATLANTIC AVE
LONG BEACH, CA 90806-5510
Phone number: 310-631-8703
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