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1316569593
TAKESHA L JACKSON
ELK GROVE, CA
NPI
1316569593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
TAKESHA L JACKSON
9398 RAINBOW FALLS WAY
ELK GROVE, CA 95624-1262
Phone number: 916-821-2541
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Mailing Address
TAKESHA L JACKSON
9398 RAINBOW FALLS WAY
ELK GROVE, CA 95624-1262
Phone number: 916-821-2541
Copy
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