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1245820190
SOPHIA LYNNE JACKSON
OAKLAND, CA
NPI
1245820190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
SOPHIA LYNNE JACKSON
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603-2558
Phone number: 510-775-1177
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Mailing Address
SOPHIA LYNNE JACKSON
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603-2558
Phone number: 510-775-1177
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