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1356494934
SCOTT AARON JACKSON
FAIRFIELD, CA
NPI
1356494934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 10401)
Enumeration Date
2007-01-18
Last Update Date
2014-04-16
Business Address
Mr. SCOTT AARON JACKSON M.S., CCC-SLP
755 FALLEN LEAF CT
FAIRFIELD, CA 94534-4038
Phone number: 707-646-4150
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Mailing Address
Mr. SCOTT AARON JACKSON M.S., CCC-SLP
755 FALLEN LEAF CT
FAIRFIELD, CA 94534-4038
Phone number: 707-864-6445
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