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1407287105
JERICKSON CU
MESQUITE, NV
NPI
1407287105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 8681691-2401)
Enumeration Date
2013-12-05
Last Update Date
2013-12-05
Business Address
-- JERICKSON CU Pt
10 W 1ST NORTH ST
MESQUITE, NV 89027-4741
Phone number: 702-327-1281
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Mailing Address
-- JERICKSON CU Pt
10 W 1ST NORTH ST
MESQUITE, NV 89027-4741
Phone number: 702-327-1281
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