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1114164589
JACKIE WATT
PALMDALE, CA
NPI
1114164589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-01-07
Last Update Date
2009-01-07
Business Address
-- JACKIE WATT
1609 E PALMDALE BLVD SUITE G
PALMDALE, CA 93550-4881
Phone number: 661-947-1595
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Mailing Address
-- JACKIE WATT
5711 COLUMBIA WAY 176
QUARTZ HILL, CA 93536-3151
Phone number:
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