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1922471069
PAMELA DEE JACKSON
HURST, TX
NPI
1922471069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 213569)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- PAMELA DEE JACKSON COTA
305 NE LOOP 820 BUSINESS TOWER 1 SUITE 200
HURST, TX 76053-7209
Phone number: 817-292-8787
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Mailing Address
-- PAMELA DEE JACKSON COTA
5051 BARCELONA TRL
GRAND PRAIRIE, TX 75052-0937
Phone number: 818-281-6582
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