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1063241255
TERRANCE LASHAN JACKSON
ONTARIO, CA
NPI
1063241255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95032559)
Enumeration Date
2024-07-29
Last Update Date
2024-10-21
Business Address
Mrs. TERRANCE LASHAN JACKSON RN, MSN, PMHNP-BC
151 N STARLING PRIVADO
ONTARIO, CA 91764-4115
Phone number: 310-488-4351
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Mailing Address
Mrs. TERRANCE LASHAN JACKSON RN, MSN, PMHNP-BC
151 N STARLING PRIVADO
ONTARIO, CA 91764-4115
Phone number: 310-488-4351
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