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1265205918
JACKSON LEAL
SOUTHINGTON, CT
NPI
1265205918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 14244)
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
JACKSON LEAL PT, DPT
360 N MAIN ST STE 9
SOUTHINGTON, CT 06489-2503
Phone number: 860-621-7389
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Mailing Address
JACKSON LEAL PT, DPT
360 N MAIN ST STE 9
SOUTHINGTON, CT 06489-2503
Phone number: 860-621-7389
Copy
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