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1952510554
PAMELA RENEE' JACKSON
OKLAHOMA CITY, OK
NPI
1952510554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 1023)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Ms. PAMELA RENEE' JACKSON
4219 S WESTERN AVE
OKLAHOMA CITY, OK 73109-3410
Phone number: 405-644-5289
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Mailing Address
Ms. PAMELA RENEE' JACKSON
4112 GLASGOW DR
NORMAN, OK 73072-2284
Phone number: 405-364-6808
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