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1366074957
CHANTAY JACKSON
ALAMEDA, CA
NPI
1366074957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
CHANTAY JACKSON
1025 ATLANTIC AVE
ALAMEDA, CA 94501-1189
Phone number: 510-268-8120
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Mailing Address
CHANTAY JACKSON
1025 ATLANTIC AVE STE 101
ALAMEDA, CA 94501-1188
Phone number:
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