DAVID EDWARD JACKSON

LAKE STATION, IN
NPI1275711350
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
Enumeration Date2008-01-31
Last Update Date2008-01-31
Business Address
-- DAVID EDWARD JACKSON C.M.T.
3321 E 35TH AVE
LAKE STATION, IN 46405-3016
Phone number: 219-714-4100
Mailing Address
-- DAVID EDWARD JACKSON C.M.T.
3321 E 35TH AVE
LAKE STATION, IN 46405-3016
Phone number: 219-714-4100
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