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1073781613
SUSAN JEAN JACKSON
AUSTIN, TX
NPI
1073781613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1002186)
Enumeration Date
2008-02-18
Last Update Date
2008-02-18
Business Address
Ms. SUSAN JEAN JACKSON PT
901 W 9TH ST APT 414
AUSTIN, TX 78703-4629
Phone number: 512-480-9477
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Mailing Address
Ms. SUSAN JEAN JACKSON PT
901 W 9TH ST APT 414
AUSTIN, TX 78703-4629
Phone number: 512-480-9477
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