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1508984816
ALEXIS MALAINA JACKSON
GURNEE, IL
NPI
1508984816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IL 056-007635)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- ALEXIS MALAINA JACKSON OTR L
1800 NATIONS DR SUITE 208
GURNEE, IL 60031-9168
Phone number: 847-477-9034
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Mailing Address
-- ALEXIS MALAINA JACKSON OTR L
820 KINGSTON AVE
RACINE, WI 53402-4049
Phone number:
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