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1255058475
SHEA JACKSON
PADUCAH, KY
NPI
1255058475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 280416)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
SHEA JACKSON OTR/L
100 KIANA CT APT A
PADUCAH, KY 42001-6767
Phone number: 270-443-0681
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Mailing Address
SHEA JACKSON OTR/L
100 KIANA CT APT A
PADUCAH, KY 42001-6767
Phone number:
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