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1215272000
DEBORAH OLIVIA JACKSON
TACOMA, WA
NPI
1215272000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC00000143)
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
-- DEBORAH OLIVIA JACKSON
601 S 8TH ST
TACOMA, WA 98405-4614
Phone number: 253-571-1000
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Mailing Address
-- DEBORAH OLIVIA JACKSON
2529 S HOSMER ST
TACOMA, WA 98405-3151
Phone number: 253-222-6971
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