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1427322940
AMY ESTELLE JACKSON
MOORE, OK
NPI
1427322940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 3496)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
Mrs. AMY ESTELLE JACKSON P.T.
2111 RIVERWALK DR
MOORE, OK 73160-2700
Phone number: 405-793-7885
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Mailing Address
Mrs. AMY ESTELLE JACKSON P.T.
2111 RIVERWALK DR.
MOORE, OK 73160
Phone number: 405-793-7885
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