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1275350399
SERINA RENE JACKSON
VACAVILLE, CA
NPI
1275350399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
SERINA RENE JACKSON ASW
712 GREENHAVEN DR
VACAVILLE, CA 95687-7106
Phone number: 415-623-9802
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Mailing Address
SERINA RENE JACKSON ASW
712 GREENHAVEN DR
VACAVILLE, CA 95687-7106
Phone number: 415-623-9802
Copy
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