DELORES JEAN JACKSON

CHICAGO RIDGE, IL
NPI1780958603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057000853)
Enumeration Date2012-02-24
Last Update Date2012-02-24
Business Address
-- DELORES JEAN JACKSON cota
10300 SOUTHWEST HIGHWAY
CHICAGO RIDGE, IL 60415
Phone number: 708-425-1100
Mailing Address
-- DELORES JEAN JACKSON cota
15244 GRANT ST
DOLTON, IL 60419
Phone number:
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