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1306981295
RODNEY JACKSON
LOS ANGELES, CA
NPI
1306981295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-02-20
Last Update Date
2023-08-11
Business Address
Mr. RODNEY JACKSON
5054 S VERMONT AVE
LOS ANGELES, CA 90037-2946
Phone number: 323-373-2444
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Mailing Address
Mr. RODNEY JACKSON
1912 W 112TH ST
LOS ANGELES, CA 90047-4739
Phone number: 323-234-4445
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