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1235497553
KEISHA HOLMES JACKSON
VICTORVILLE, CA
NPI
1235497553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-04-24
Last Update Date
2012-04-24
Business Address
MRS. KEISHA HOLMES JACKSON
15095 AMARGOSA RD SUITE 201
VICTORVILLE, CA 92394-1879
Phone number: 760-245-4695
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Mailing Address
MRS. KEISHA HOLMES JACKSON
15095 AMARGOSA RD SUITE 201
VICTORVILLE, CA 92394-1879
Phone number: 760-245-4695
Copy
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