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1730659640
MALIK JACKSON
LAS VEGAS, NV
NPI
1730659640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
MALIK JACKSON
4285 N RANCHO DR
LAS VEGAS, NV 89130-3446
Phone number: 702-385-5331
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Mailing Address
MALIK JACKSON
4285 N RANCHO DR
LAS VEGAS, NV 89130-3446
Phone number: 702-385-5331
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