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1003146168
BERNICE BODDIE JACKSON
LOS ANGELES, CA
NPI
1003146168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: CA G37001)
Enumeration Date
2010-01-12
Last Update Date
2010-01-12
Business Address
Dr. BERNICE BODDIE JACKSON M.D.
241 N. FIGUEROA ST.
LOS ANGELES, CA 90012-2601
Phone number: 213-989-7168
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Mailing Address
Dr. BERNICE BODDIE JACKSON M.D.
P.O. BOX 19788
LOS ANGELES, CA 90019-0788
Phone number: 323-938-6586
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