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1659852440
JACQUETTA JACKSON
ARLINGTON, TX
NPI
1659852440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: TX SA00703)
Enumeration Date
2018-08-28
Last Update Date
2019-08-09
Business Address
Ms. JACQUETTA JACKSON LSA
1021 TELLURIDE DR
ARLINGTON, TX 76001-8529
Phone number: 214-227-2457
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Mailing Address
Ms. JACQUETTA JACKSON LSA
PO BOX 938
ROWLETT, TX 75030-0938
Phone number: 214-227-2457
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