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1730853292
JACOB DICKERSON
LOUISVILLE, KY
NPI
1730853292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 008310)
Enumeration Date
2021-08-06
Last Update Date
2021-08-06
Business Address
JACOB DICKERSON
6008 BROWNSBORO PARK BLVD
LOUISVILLE, KY 40207-1295
Phone number:
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Mailing Address
JACOB DICKERSON
808 DANA MARIE DR
LOUISVILLE, KY 40223-3408
Phone number:
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