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1699442608
TANA JACKOSN
KALAMAZOO, MI
NPI
1699442608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: 5502003072)
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
TANA JACKOSN
1903 W MICHIGAN AVE
KALAMAZOO, MI 49008-5200
Phone number: 269-387-3248
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Mailing Address
TANA JACKOSN
1903 W MICHIGAN AVE
KALAMAZOO, MI 49008-5200
Phone number: 269-387-3248
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