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1245918374
KATHERINE NICOLE JACKSON
GREENWOOD VILLAGE, CO
NPI
1245918374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 0001702)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
KATHERINE NICOLE JACKSON
6450 S BOSTON ST
GREENWOOD VILLAGE, CO 80111-5336
Phone number: 303-224-9455
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Mailing Address
KATHERINE NICOLE JACKSON
8769 CREEKSIDE WAY APT 836
HIGHLANDS RANCH, CO 80129-2208
Phone number: 336-944-3040
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