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1104632157
ALYSHA JACKSON
SACRAMENTO, CA
NPI
1104632157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-12-05
Last Update Date
2024-12-05
Business Address
ALYSHA JACKSON
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 707-853-7242
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Mailing Address
ALYSHA JACKSON
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number:
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