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1457591455
JERROLD J JACKSON
IRVING, TX
NPI
1457591455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 107746)
Enumeration Date
2009-03-03
Last Update Date
2018-07-23
Business Address
Mr. JERROLD J JACKSON SLP
1231 GREENWAY DR STE 100
IRVING, TX 75038
Phone number: 972-871-1800
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Mailing Address
Mr. JERROLD J JACKSON SLP
728 BRAY ST
CEDAR HILL, TX 75104-6058
Phone number: 972-802-1176
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