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1396479069
CHASITY RENEA JACKSON-ELLIS
SAN ANTONIO, TX
NPI
1396479069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07075)
Enumeration Date
2022-07-10
Last Update Date
2022-07-10
Business Address
CHASITY RENEA JACKSON-ELLIS DPT
423 TREELINE PARK STE 201
SAN ANTONIO, TX 78209-2078
Phone number: 210-602-0235
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Mailing Address
CHASITY RENEA JACKSON-ELLIS DPT
377 LEIGH LN
STONEWALL, LA 71078-5414
Phone number: 318-458-9464
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