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1033462882
DEBRA LYNN JACKSON
VISALIA, CA
NPI
1033462882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-17
Last Update Date
2012-10-17
Business Address
-- DEBRA LYNN JACKSON
705 S COURT ST
VISALIA, CA 93277-2727
Phone number: 559-635-8010
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Mailing Address
-- DEBRA LYNN JACKSON
705 S COURT ST
VISALIA, CA 93277-2727
Phone number: 559-635-8010
Copy
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