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1043330160
JEFFREY LANCE JAMERSON
PASADENA, CA
NPI
1043330160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY LANCE JAMERSON
2055 LINCOLN AVE
PASADENA, CA 91103-1324
Phone number: 626-798-6793
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Mailing Address
Mr. JEFFREY LANCE JAMERSON
803 DE HAVEN ST
SAN FERNANDO, CA 91340-2126
Phone number: 818-365-0360
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