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1629667589
JEANNINE JACKSON
TULSA, OK
NPI
1629667589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
JEANNINE JACKSON COTA/L
6715 E 41ST ST
TULSA, OK 74145-4520
Phone number: 918-806-0106
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Mailing Address
JEANNINE JACKSON COTA/L
622 E MAIN ST
COLLINSVILLE, OK 74021-3616
Phone number:
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