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1134987647
JACKSON MILES MCCLAIN
SAN DIEGO, CA
NPI
1134987647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-08
Last Update Date
2024-03-08
Business Address
JACKSON MILES MCCLAIN
5500 CAMPANILE DR
SAN DIEGO, CA 92182-0001
Phone number: 510-833-4127
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Mailing Address
JACKSON MILES MCCLAIN
1111 COWPER ST
BERKELEY, CA 94702-1813
Phone number: 510-833-4127
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