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1114797735
RUBY LOUISE JACKSON
FRESNO, CA
NPI
1114797735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-01-04
Last Update Date
2024-01-04
Business Address
RUBY LOUISE JACKSON
2767 N SELLAND AVE
FRESNO, CA 93722-5284
Phone number: 559-477-3428
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Mailing Address
RUBY LOUISE JACKSON
2767 N SELLAND AVE
FRESNO, CA 93722-5284
Phone number: 559-477-3428
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