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1740730118
CANNELL JACKSON
LAS VEGAS, NV
NPI
1740730118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-10-10
Last Update Date
2016-11-02
Business Address
-- CANNELL JACKSON
2725 W. WIGWAM AVE #2009
LAS VEGAS, NV 89123
Phone number: 773-844-6231
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Mailing Address
-- CANNELL JACKSON
2725 W. WIGWAM AVE #2009
LAS VEGAS, NV 89123
Phone number: 773-844-6231
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