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1063650802
MICHELLE JACKSON
HOUSTON, TX
NPI
1063650802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209120)
Enumeration Date
2009-02-02
Last Update Date
2009-02-02
Business Address
-- MICHELLE JACKSON
10200 RICHMOND AVE
HOUSTON, TX 77042-4140
Phone number: 832-585-2645
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Mailing Address
-- MICHELLE JACKSON
10200 RICHMOND AVE
HOUSTON, TX 77042-4140
Phone number: 832-585-2645
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