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1083816326
EDWARD JACKSON
OAKLAND, CA
NPI
1083816326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
Mr. EDWARD JACKSON
3007 TELEGRAPH AVE
OAKLAND, CA 94609-3205
Phone number: 510-433-1500
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Mailing Address
Mr. EDWARD JACKSON
3007 TELEGRAPH AVE
OAKLAND, CA 94609-3205
Phone number: 510-433-1500
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