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1336667344
JILLIAN DICKERSON BASON
LUBBOCK, TX
NPI
1336667344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1294647)
Enumeration Date
2017-08-30
Last Update Date
2022-07-21
Business Address
JILLIAN DICKERSON BASON PT, DPT
3838 50TH ST
LUBBOCK, TX 79413
Phone number: 806-792-5522
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Mailing Address
JILLIAN DICKERSON BASON PT, DPT
3838 50TH ST
LUBBOCK, TX 79413-3808
Phone number: 806-792-5522
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