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1154836146
LIONEL DEWAYNE JACKSON
LOS ANGELES, CA
NPI
1154836146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-12-12
Last Update Date
2017-12-12
Business Address
LIONEL DEWAYNE JACKSON
600 ST PAUL AVE STE 200
LOS ANGELES, CA 90017-5686
Phone number: 213-482-6400
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Mailing Address
LIONEL DEWAYNE JACKSON
600 ST PAUL AVE STE 200
LOS ANGELES, CA 90017-5686
Phone number: 213-482-6400
Copy
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