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1184201592
JACKSON EDWARD MASSANELLI
HOUSTON, TX
NPI
1184201592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
JACKSON EDWARD MASSANELLI
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030-3411
Phone number: 832-824-1170
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Mailing Address
JACKSON EDWARD MASSANELLI
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030-3411
Phone number: 832-824-1170
Copy
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