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1902245988
ALICIA J JACKSON
OKLAHOMA CITY, OK
NPI
1902245988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OK OCC04318)
Enumeration Date
2013-06-23
Last Update Date
2013-06-23
Business Address
-- ALICIA J JACKSON Massage Therapist
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120-5045
Phone number: 405-936-1550
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Mailing Address
-- ALICIA J JACKSON Massage Therapist
508 BRIGHTON DR
EDMOND, OK 73003-3169
Phone number: 405-204-0505
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