Individual
DEBORAH GAIL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2601 NEEDMORE RD, DAYTON, OH 45414
(937) 277-7246
(937) 277-3719
Mailing address
10738 PREBLE CO LINE RD, BROOKVILLE, OH 45309
(937) 277-7246
(937) 277-3719
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33012939
OH
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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