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1194974311
LARAINE JACKSON
LONG BEACH, CA
NPI
1194974311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-11
Last Update Date
2008-09-11
Business Address
-- LARAINE JACKSON
2101 MAGNOLIA AVE
LONG BEACH, CA 90806-4521
Phone number: 562-218-1868
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Mailing Address
-- LARAINE JACKSON
2101 MAGNOLIA AVE
LONG BEACH, CA 90806-4521
Phone number: 562-218-1868
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