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1912371113
JACKSON T GEORGE
DES PLAINES, IL
NPI
1912371113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160007346)
Enumeration Date
2015-11-25
Last Update Date
2015-11-25
Business Address
JACKSON T GEORGE PTA
115 N WOLF RD
DES PLAINES, IL 60016-2111
Phone number: 847-924-6592
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Mailing Address
JACKSON T GEORGE PTA
115 N WOLF RD
DES PLAINES, IL 60016-2111
Phone number: 847-924-6592
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