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1083097901
JERRY LOUIS JACKSON
LOS ANGELES, CA
NPI
1083097901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2015-07-09
Last Update Date
2018-01-12
Business Address
JERRY LOUIS JACKSON
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000
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Mailing Address
JERRY LOUIS JACKSON
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000
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