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1144710187
SHAUNTA LENAE JACKSON
WOODLAND HILLS, CA
NPI
1144710187
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Former Name
SHAUNTA LENAE JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
-- SHAUNTA LENAE JACKSON shaunta
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 503-224-2184
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Mailing Address
-- SHAUNTA LENAE JACKSON shaunta
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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