Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gwendolyn Jacko

Individual provider Rehabilitation Practitioner · NPI 1053695734

Gwendolyn Jacko is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

4435 S Jones Blvd
Las Vegas, NV 89103-3307
Phone: (702) 221-6224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1053695734
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2011
Last updated in NPPESSeptember 29, 2011

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