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1114313251
JATAUAN JACKSON
ORLANDO, FL
NPI
1114313251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-04-14
Last Update Date
2015-08-20
Business Address
-- JATAUAN JACKSON
3544 EDGEWATER DR
ORLANDO, FL 32804-2922
Phone number: 817-219-6700
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Mailing Address
-- JATAUAN JACKSON
7320 YODER ST
WINDERMERE, FL 34786-5597
Phone number: 817-219-6700
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