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1417450974
KAILYN M JACKSON
IRVING, TX
NPI
1417450974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 17-0422-73709)
Enumeration Date
2018-03-12
Last Update Date
2018-03-12
Business Address
KAILYN M JACKSON
400 E ROYAL LN
IRVING, TX 75039-3540
Phone number: 808-354-0090
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Mailing Address
KAILYN M JACKSON
400 E ROYAL LN
IRVING, TX 75039-3540
Phone number:
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