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1972251049
SUMMER JACKSON
RICHARDSON, TX
NPI
1972251049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 217188)
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
SUMMER JACKSON COTA
714 W ARAPAHO RD
RICHARDSON, TX 75080-4156
Phone number: 972-972-9525
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Mailing Address
SUMMER JACKSON COTA
9852 WILKINS WAY
PLANO, TX 75025-5820
Phone number: 501-590-6644
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