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1013172436
FAYE MARIE JACKSON
SAN DIEGO, CA
NPI
1013172436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-07-24
Last Update Date
2008-07-24
Business Address
-- FAYE MARIE JACKSON
6160 MISSION GORGE RD
SAN DIEGO, CA 92120-3410
Phone number: 619-972-9191
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Mailing Address
-- FAYE MARIE JACKSON
6160 MISSION GORGE RD
SAN DIEGO, CA 92120-3410
Phone number: 619-972-9191
Copy
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