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1013160316
DOUGLAS CLARENCE JACKSON
BROOKLYN, NY
NPI
1013160316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2008-10-30
Last Update Date
2008-10-30
Business Address
Mr. DOUGLAS CLARENCE JACKSON Substance counselor
2384 ATLANTIC AVE
BROOKLYN, NY 11233-3402
Phone number: 718-495-0920
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Mailing Address
Mr. DOUGLAS CLARENCE JACKSON Substance counselor
2384 ATLANTIC AVE
BROOKLYN, NY 11233-3402
Phone number: 718-495-0920
Copy
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