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1255902599
DEMTRAIS JACKSON
MERCED, CA
NPI
1255902599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
DEMTRAIS JACKSON
300 E 15TH ST STE C
MERCED, CA 95341-6217
Phone number: 209-386-1092
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Mailing Address
DEMTRAIS JACKSON
3433 W SHAW AVE STE 102
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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