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1114227220
CHARLES JACKSON
LAS VEGAS, NV
NPI
1114227220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
Mr. CHARLES JACKSON
437 ROSSMORE DR
LAS VEGAS, NV 89110-4120
Phone number: 702-445-6594
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Mailing Address
Mr. CHARLES JACKSON
437 ROSSMORE DR
LAS VEGAS, NV 89110-4120
Phone number: 702-445-6594
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