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1356590749
CHARLRE-L E JACKSON
SANTA MONICA, CA
NPI
1356590749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-10
Last Update Date
2017-05-01
Business Address
Ms. CHARLRE-L E JACKSON AA
1453 16TH ST
SANTA MONICA, CA 90404-2715
Phone number: 310-450-4050
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Mailing Address
Ms. CHARLRE-L E JACKSON AA
1453 16TH ST
SANTA MONICA, CA 90404-2715
Phone number: 310-450-4050
Copy
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