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1730221029
GERALD MICHAEL JACKSON
PAHRUMP, NV
NPI
1730221029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 0624)
Enumeration Date
2007-02-13
Last Update Date
2019-11-20
Business Address
GERALD MICHAEL JACKSON PT
2100 E CALVADA BLVD
PAHRUMP, NV 89048-5805
Phone number: 775-727-7959
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Mailing Address
GERALD MICHAEL JACKSON PT
2100 E CALVADA BLVD
PAHRUMP, NV 89048-5805
Phone number: 775-727-7959
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