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1689924433
DONNITA KAYE JACKSON
AUSTIN, TX
NPI
1689924433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
Enumeration Date
2012-09-19
Last Update Date
2013-09-12
Business Address
DONNITA KAYE JACKSON
1210 SOUTH TRACE
AUSTIN, TX 78745
Phone number: 512-888-5985
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Mailing Address
DONNITA KAYE JACKSON
1210 SOUTH TRACE
AUSTIN, TX 78745
Phone number: 512-888-5985
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