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1952187882
CORRINE R JACKSON
BUFFALO, NY
NPI
1952187882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 030743)
Enumeration Date
2023-09-06
Last Update Date
2023-09-06
Business Address
CORRINE R JACKSON LMT
474 NIAGARA FALLS BLVD STE 4
BUFFALO, NY 14223-2647
Phone number: 716-235-1338
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Mailing Address
CORRINE R JACKSON LMT
23 NEW SOUTHGATE RD LOWR
BUFFALO, NY 14215-1809
Phone number: 716-310-4070
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