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1275101743
JACKSON GEORGE MATUELLA
OMAHA, NE
NPI
1275101743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 4212)
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
Dr. JACKSON GEORGE MATUELLA PT, DPT
625 N 144TH AVE STE 102
OMAHA, NE 68154-1935
Phone number: 402-934-8688
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Mailing Address
Dr. JACKSON GEORGE MATUELLA PT, DPT
625 N 144TH AVE STE 102
OMAHA, NE 68154-1935
Phone number: 402-934-8688
Copy
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