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1134852627
SHENELLE JACKSON
GARDENA, CA
NPI
1134852627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-07-02
Last Update Date
2022-07-02
Business Address
SHENELLE JACKSON None
18726 S WESTERN AVE
GARDENA, CA 90248-3813
Phone number: 310-856-0800
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Mailing Address
SHENELLE JACKSON None
18726 S WESTERN AVE
GARDENA, CA 90248-3813
Phone number: 310-856-0800
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