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1023761020
LISA JACKMAN
BEAVERTON, OR
NPI
1023761020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
LISA JACKMAN
6200 SW ARCTIC DR
BEAVERTON, OR 97005-9447
Phone number: 503-224-2184
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Mailing Address
LISA JACKMAN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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