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1043828148
LENIE JACKSON
LAMONT, CA
NPI
1043828148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
LENIE JACKSON
10417 MAIN ST
LAMONT, CA 93241-1726
Phone number: 661-845-5100
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Mailing Address
LENIE JACKSON
10417 MAIN ST
LAMONT, CA 93241-1726
Phone number: 661-845-5100
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