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1720361652
MARCUS JACKSON
NORTH LAS VEGAS, NV
NPI
1720361652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
103TR0400X Psychologist, Rehabilitation
Enumeration Date
2011-09-27
Last Update Date
2011-09-27
Business Address
-- MARCUS JACKSON
320 PRINCESS AVE
NORTH LAS VEGAS, NV 89030-3809
Phone number: 702-573-5812
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Mailing Address
-- MARCUS JACKSON
320 PRINCESS AVE
NORTH LAS VEGAS, NV 89030-3809
Phone number:
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