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1902636202
JACKSON JONTRA
MIDLOTHIAN, TX
NPI
1902636202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
JACKSON JONTRA
420 HAWKINS RUN RD STE 100
MIDLOTHIAN, TX 76065-6654
Phone number: 214-530-2335
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Mailing Address
JACKSON JONTRA
6061 VILLAGE BEND DR APT 1105
DALLAS, TX 75206-3554
Phone number: 903-330-3582
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