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1619127826
NATHANIEL JACKSON
MORGANTON, NC
NPI
1619127826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P11832)
Enumeration Date
2008-09-24
Last Update Date
2009-04-23
Business Address
-- NATHANIEL JACKSON PT
617 S GREEN ST SUITE 102
MORGANTON, NC 28655-3517
Phone number: 828-438-2725
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Mailing Address
-- NATHANIEL JACKSON PT
201 BRENTWOOD RD
MORGANTON, NC 28655-9186
Phone number: 828-413-3680
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