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1104455450
REBECA LEE JACKSON
ANCHORAGE, AK
NPI
1104455450
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Former Name
AYME ISEL MARRERO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: AK 101381)
Enumeration Date
2020-04-07
Last Update Date
2020-06-29
Business Address
Miss REBECA LEE JACKSON
7451 TYONE CT
ANCHORAGE, AK 99504-3531
Phone number: 907-743-2986
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Mailing Address
Miss REBECA LEE JACKSON
7451 TYONE CT
ANCHORAGE, AK 99504-3531
Phone number: 907-743-2986
Copy
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