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1366787806
CHERYL GWENDOLYN JACKSON
LOUISVILLE, KY
NPI
1366787806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.004726)
Enumeration Date
2012-12-11
Last Update Date
2012-12-11
Business Address
Mrs. CHERYL GWENDOLYN JACKSON OTR/L
680 S 4TH ST
LOUISVILLE, KY 40202-2407
Phone number: 502-596-7640
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Mailing Address
Mrs. CHERYL GWENDOLYN JACKSON OTR/L
398 WOODBURY BND
BEECHER, IL 60401-3711
Phone number: 708-946-1553
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