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1295474161
VICTORIA JACKSON
LOS ANGELES, CA
NPI
1295474161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000050264)
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
VICTORIA JACKSON
2131 JOHN WOODEN CTR
LOS ANGELES, CA 90095-0001
Phone number: 310-206-0621
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Mailing Address
VICTORIA JACKSON
11958 BAYLA ST
NORWALK, CA 90650-1827
Phone number: 562-455-8756
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