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1194481622
DESSIE JACKSON
COLUMBUS, IN
NPI
1194481622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-156021)
Enumeration Date
2021-11-09
Last Update Date
2021-11-09
Business Address
DESSIE JACKSON
315 WASHINGTON ST
COLUMBUS, IN 47201-6743
Phone number: 812-413-9321
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Mailing Address
DESSIE JACKSON
315 WASHINGTON ST
COLUMBUS, IN 47201-6743
Phone number: 812-413-9321
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