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1306007059
CURTIS JACKSON
COVINA, CA
NPI
1306007059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2008-06-24
Last Update Date
2008-06-24
Business Address
Ms. CURTIS JACKSON
1411 N GRAND AVE 110
COVINA, CA 91724-1001
Phone number: 626-395-7100
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Mailing Address
Ms. CURTIS JACKSON
2648 E WORKMAN AVE # 143
WEST COVINA, CA 91791-1604
Phone number: 626-736-3537
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