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1073395794
JODIE LEE HACKETT
LONG BEACH, CA
NPI
1073395794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
JODIE LEE HACKETT
4510 E PACIFIC COAST HWY STE 430
LONG BEACH, CA 90804-6937
Phone number: 562-760-3875
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Mailing Address
JODIE LEE HACKETT
4510 E PACIFIC COAST HWY STE 430
LONG BEACH, CA 90804-6937
Phone number: 562-760-3875
Copy
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