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1437521747
ANTONIO JACKSON
HENDERSON, NV
NPI
1437521747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-10-26
Last Update Date
2015-10-26
Business Address
-- ANTONIO JACKSON
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052-4395
Phone number: 702-430-4590
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Mailing Address
-- ANTONIO JACKSON
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052-4395
Phone number: 702-430-4590
Copy
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