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1487880134
JILL LACK
BELLAIRE, TX
NPI
1487880134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 108235)
Enumeration Date
2009-06-09
Last Update Date
2009-06-09
Business Address
-- JILL LACK OT
1215 HOWARD LN
BELLAIRE, TX 77401-2705
Phone number: 713-213-9060
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Mailing Address
-- JILL LACK OT
1215 HOWARD LN
BELLAIRE, TX 77401-2705
Phone number: 713-213-9060
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