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1124513783
JIMMIE LEE JACKSON
SAN DIEGO, CA
NPI
1124513783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-06-26
Last Update Date
2018-07-02
Business Address
JIMMIE LEE JACKSON
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110
Phone number: 619-398-0355
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Mailing Address
JIMMIE LEE JACKSON
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110-3850
Phone number: 619-398-0355
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