PAUL CHARLES JACKSON

SIERRA VISTA, AZ
NPI1639339443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  7580A)
Enumeration Date2008-06-16
Last Update Date2008-06-16
Business Address
-- PAUL CHARLES JACKSON PTA
660 S CORONADO DR
SIERRA VISTA, AZ 85635-3386
Phone number: 520-459-4900
Mailing Address
-- PAUL CHARLES JACKSON PTA
5446 S SAN PAULO AVE
SIERRA VISTA, AZ 85650-9356
Phone number: 520-378-0744
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