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1013505064
MEGAN JACKSON
NORTH POLE, AK
NPI
1013505064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: AK 523381)
Enumeration Date
2021-01-05
Last Update Date
2021-01-05
Business Address
MEGAN JACKSON
1502 LIATRIS LN
NORTH POLE, AK 99705-5082
Phone number: 907-385-7332
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Mailing Address
MEGAN JACKSON
365 KODIAK ST STOP 2000
EIELSON AFB, AK 99702-5379
Phone number: 907-385-5733
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