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1023462405
CLIFTON JACKSON
VICTORVILLE, CA
NPI
1023462405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-04-21
Last Update Date
2020-08-28
Business Address
CLIFTON JACKSON
15400 CHOLAME RD
VICTORVILLE, CA 92392-2480
Phone number: 760-780-4500
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Mailing Address
CLIFTON JACKSON
15400 CHOLAME RD
VICTORVILLE, CA 92392-2480
Phone number: 760-780-4500
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