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1750381752
TERRI D. JACKSON
DALLAS, TX
NPI
1750381752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00941)
Enumeration Date
2005-08-01
Last Update Date
2009-09-03
Business Address
-- TERRI D. JACKSON PA-C
3310 LIVE OAK ST YOUTH & FAMILY CENTER
DALLAS, TX 75204-6153
Phone number: 214-266-1257
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Mailing Address
-- TERRI D. JACKSON PA-C
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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