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1104194554
MARTHA JEAN ALDERSON
POINT BLANK, TX
NPI
1104194554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
(Licence: TX 132612)
Enumeration Date
2011-12-13
Last Update Date
2011-12-13
Business Address
MRS. MARTHA JEAN ALDERSON
HWY 190 JORDAN RD. 100 ACE ST.
POINT BLANK, TX 77364
Phone number: 936-377-4575
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Mailing Address
MRS. MARTHA JEAN ALDERSON
P.O. BOX 161
POINT BLANK, TX 77364
Phone number: 936-377-4575
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