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1871183202
KAREN GAIL JACKSON
DALLAS, OR
NPI
1871183202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8845)
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
KAREN GAIL JACKSON
377 NW JASPER ST
DALLAS, OR 97338-1279
Phone number: 503-623-5581
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Mailing Address
KAREN GAIL JACKSON
3470 BALD EAGLE DR
LEBANON, OR 97355-1871
Phone number: 541-979-8683
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