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1275006603
CHRISTOPHER M JACKSON
COLVILLE, WA
NPI
1275006603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CU61529152)
Enumeration Date
2019-01-08
Last Update Date
2024-07-16
Business Address
CHRISTOPHER M JACKSON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
CHRISTOPHER M JACKSON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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