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1093878969
ADA L. JACKSON
SAN ANTONIO, TX
NPI
1093878969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 200737)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
-- ADA L. JACKSON COTA
3360 OAKWELL CT
SAN ANTONIO, TX 78218-3061
Phone number: 210-826-5348
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Mailing Address
-- ADA L. JACKSON COTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number:
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