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1417435967
JOHN L JACKSON
BOTHELL, WA
NPI
1417435967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA 60863261)
Enumeration Date
2018-08-06
Last Update Date
2022-03-08
Business Address
JOHN L JACKSON PT, DPT, ATC
18323 98TH AVE NE STE 1
BOTHELL, WA 98011-3358
Phone number: 425-371-7070
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Mailing Address
JOHN L JACKSON PT, DPT, ATC
1114 164TH ST SE APT C301
MILL CREEK, WA 98012-1702
Phone number: 904-476-0124
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