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1336397884
LAURETTA E JACKSON
AUSTIN, TX
NPI
1336397884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1069326)
Enumeration Date
2008-09-08
Last Update Date
2008-09-08
Business Address
-- LAURETTA E JACKSON PT
1121 E 7TH ST
AUSTIN, TX 78702-3220
Phone number: 512-334-4411
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Mailing Address
-- LAURETTA E JACKSON PT
1121 E 7TH ST
AUSTIN, TX 78702-3220
Phone number: 512-334-4411
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