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1134200389
SHARON RUTH JACKSON
GRAND PRAIRIE, TX
NPI
1134200389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: TX 0058191)
Enumeration Date
2006-10-17
Last Update Date
2007-07-09
Business Address
Mrs. SHARON RUTH JACKSON
2100 N. HWY 360 SUITE 1704
GRAND PRAIRIE, TX 75050-1062
Phone number: 972-206-0111
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Mailing Address
Mrs. SHARON RUTH JACKSON
4801 LAKESHORE CT
COLLEYVILLE, TX 76034-2828
Phone number: 972-206-0111
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