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1376787705
BRADLEY A JACKSON
MARQUETTE, MI
NPI
1376787705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501008427)
Enumeration Date
2009-04-29
Last Update Date
2009-08-21
Business Address
BRADLEY A JACKSON PT
3135 US HIGHWAY 41 W
MARQUETTE, MI 49855-9494
Phone number: 906-225-5900
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Mailing Address
BRADLEY A JACKSON PT
105 N LAKESHORE BLVD
MARQUETTE, MI 49855-4326
Phone number: 906-225-5044
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