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1972870814
JACKSON E GALL
LOUISVILLE, KY
NPI
1972870814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31005213A)
Enumeration Date
2011-11-21
Last Update Date
2016-09-27
Business Address
-- JACKSON E GALL O.T.
225 ABRAHAM FLEXNER WAY STE 700
LOUISVILLE, KY 40202-1882
Phone number: 502-562-0398
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Mailing Address
-- JACKSON E GALL O.T.
PO BOX 740041 DEPT 6150
LOUISVILLE, KY 40201-7441
Phone number: 502-562-0398
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