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1104258615
T THERESA JACKSON
ROSEVILLE, CA
NPI
1104258615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225A00000X Music Therapist
(Licence: CA 08720)
Enumeration Date
2013-08-07
Last Update Date
2013-08-07
Business Address
-- T THERESA JACKSON MT-BC
1412 OAK GROVE DR
ROSEVILLE, CA 95747-7352
Phone number: 916-782-3467
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Mailing Address
-- T THERESA JACKSON MT-BC
1412 OAK GROVE DR
ROSEVILLE, CA 95747-7352
Phone number: 916-782-3467
Copy