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1902161243
HOWARD LESLIE JACKSON
NAPLES, FL
NPI
1902161243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: FL PT 18310)
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
Mr. HOWARD LESLIE JACKSON PT
7801 AIRPORT PULLING RD N
NAPLES, FL 34109-1717
Phone number: 239-566-2817
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Mailing Address
Mr. HOWARD LESLIE JACKSON PT
6 KENNEDY PL
TUCKAHOE, NY 10707-1611
Phone number: 914-506-0262
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