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1366105991
ALEXIS JACKSON
CHARLOTTE, NC
NPI
1366105991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
ALEXIS JACKSON
420 HAWTHORNE LN
CHARLOTTE, NC 28204-2312
Phone number: 801-935-4171
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Mailing Address
ALEXIS JACKSON
PO BOX 8544
PASADENA, CA 91109-8602
Phone number:
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