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1316408792
SANDRA RAE JACKSON
AMARILLO, TX
NPI
1316408792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 208284)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
SANDRA RAE JACKSON
6308 PARKWOOD PL
AMARILLO, TX 79119-5003
Phone number: 806-433-2211
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Mailing Address
SANDRA RAE JACKSON
6308 PARKWOOD PL
AMARILLO, TX 79119-5003
Phone number: 806-433-2211
Copy
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