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1073735445
KATRINA MARIE JACKSON
LEAGUE CITY, TX
NPI
1073735445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA030501)
Enumeration Date
2007-05-03
Last Update Date
2009-10-30
Business Address
Mrs. KATRINA MARIE JACKSON PA-C
2911 S SHORE BLVD STE 190
LEAGUE CITY, TX 77573-3919
Phone number: 281-538-8188
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Mailing Address
Mrs. KATRINA MARIE JACKSON PA-C
2523 POTOMAC DR
LEAGUE CITY, TX 77573-4847
Phone number: 281-557-7640
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