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1013139880
CURTIS CHARLES JACKSON
MARTINEZ, CA
NPI
1013139880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mr. CURTIS CHARLES JACKSON r.a.s.
4645 PACHECO BLVD
MARTINEZ, CA 94553-3625
Phone number: 925-646-9270
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Mailing Address
Mr. CURTIS CHARLES JACKSON r.a.s.
PO BOX 1109
MARTINEZ, CA 94553-0110
Phone number: 925-646-9270
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