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1326481383
KARL DWIGHT JACKSON
BEND, OR
NPI
1326481383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 6399)
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
Mr. KARL DWIGHT JACKSON LMT
39 NW LOUISIANA AVE
BEND, OR 97701-3310
Phone number: 541-330-0334
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Mailing Address
Mr. KARL DWIGHT JACKSON LMT
62610 WAUGH RD
BEND, OR 97701-9782
Phone number: 541-678-4667
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