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1104302629
CHAD ALLEN JENNINGS
TEXARKANA, TX
NPI
1104302629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 110599)
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
CHAD ALLEN JENNINGS MS,OTR
5610 RICHMOND RD
TEXARKANA, TX 75503-0500
Phone number: 903-791-9355
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Mailing Address
CHAD ALLEN JENNINGS MS,OTR
2226 SHADY PINES RD
TEXARKANA, TX 75501-8970
Phone number: 903-748-3097
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