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1255608170
LON JACKMAN
SOMERSWORTH, NH
NPI
1255608170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-11-21
Last Update Date
2011-11-21
Business Address
-- LON JACKMAN
200 ROUTE 108
SOMERSWORTH, NH 03878-1119
Phone number: 603-953-0077
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Mailing Address
-- LON JACKMAN
200 ROUTE 108
SOMERSWORTH, NH 03878-1119
Phone number: 603-953-0077
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