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1013043553
JOHN PHILLIP JACKSON
LUBBOCK, TX
NPI
1013043553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 102473)
Enumeration Date
2007-02-26
Last Update Date
2009-05-14
Business Address
-- JOHN PHILLIP JACKSON OTR
7810 AVENUE U APT B
LUBBOCK, TX 79423-2430
Phone number: 806-778-9735
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Mailing Address
-- JOHN PHILLIP JACKSON OTR
7810 AVENUE U APT B
LUBBOCK, TX 79423-2430
Phone number: 806-778-9735
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