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1467649277
THOMAS A. JACKSON
WATERBURY, CT
NPI
1467649277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 008120)
Enumeration Date
2007-09-26
Last Update Date
2007-09-26
Business Address
Mr. THOMAS A. JACKSON
22 TOMPKINS ST
WATERBURY, CT 06708-1459
Phone number: 203-419-0381
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Mailing Address
Mr. THOMAS A. JACKSON
22 TOMPKINS ST
WATERBURY, CT 06708-1459
Phone number: 203-419-0381
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