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1053892604
TASHATA RE'KAL JACKSON
KILGORE, TX
NPI
1053892604
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Professional Name
TASHATA RE'KAL JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 212080)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
TASHATA RE'KAL JACKSON COTA
2700 S HENDERSON BLVD
KILGORE, TX 75662-4033
Phone number: 903-984-3511
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Mailing Address
TASHATA RE'KAL JACKSON COTA
6860 DALLAS PKWY STE 550
PLANO, TX 75024-4252
Phone number: 903-984-3511
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