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1396009650
CHRISTY WIEST JACKSON
OAK RIDGE, TN
NPI
1396009650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2109)
Enumeration Date
2012-07-01
Last Update Date
2012-07-01
Business Address
Mrs. CHRISTY WIEST JACKSON
113 ULYSSES LN
OAK RIDGE, TN 37830-5238
Phone number: 865-387-2462
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Mailing Address
Mrs. CHRISTY WIEST JACKSON
113 ULYSSES LN
OAK RIDGE, TN 37830-5238
Phone number: 865-387-2462
Copy
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