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1295918175
DEANNA LYNN JACKSON
VISALIA, CA
NPI
1295918175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2007-12-13
Last Update Date
2007-12-13
Business Address
MRS. DEANNA LYNN JACKSON
1926 S COURT ST
VISALIA, CA 93277-5426
Phone number: 559-736-3193
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Mailing Address
MRS. DEANNA LYNN JACKSON
1922 S COURT ST
VISALIA, CA 93277-5426
Phone number: 559-736-3193
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