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1003673369
JACOB T JACKSON
KELLER, TX
NPI
1003673369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1389882)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
JACOB T JACKSON DPT
100 BOURLAND RD STE 170B
KELLER, TX 76248-3591
Phone number: 800-404-6050
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Mailing Address
JACOB T JACKSON DPT
PO BOX 700688
SAN ANTONIO, TX 78270-0688
Phone number: 800-404-6050
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