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1134767601
CAITLYN JO JACKSON
AMARILLO, TX
NPI
1134767601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2149204)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
CAITLYN JO JACKSON PTA
1910 MEDI PARK DR
AMARILLO, TX 79106-2187
Phone number: 806-457-4700
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Mailing Address
CAITLYN JO JACKSON PTA
1910 MEDI PARK DR
AMARILLO, TX 79106-2187
Phone number: 806-457-4700
Copy
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