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1871022061
GEORONIKA JACKSON
MISSOURI CITY, TX
NPI
1871022061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1289681)
Enumeration Date
2017-06-09
Last Update Date
2017-06-09
Business Address
GEORONIKA JACKSON PT
4806 RIVERSTONE BLVD
MISSOURI CITY, TX 77459-4092
Phone number: 281-499-5808
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Mailing Address
GEORONIKA JACKSON PT
26400 KUYKENDAHL RD SUITE C-180, #113
THE WOODLANDS, TX 77375-2946
Phone number: 281-734-2408
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