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1306134267
DAILE M JACKSON
JAMESTOWN, NY
NPI
1306134267
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Former Name
DAILE M JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 033817-1)
Enumeration Date
2011-07-13
Last Update Date
2022-01-30
Business Address
DAILE M JACKSON PT, DPT
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-665-1166
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Mailing Address
DAILE M JACKSON PT, DPT
3266 FLUVANNA AVENUE EXT
FLUVANNA, NY 14701-9706
Phone number: 716-665-0773
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