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1376026864
ALEXANDRA TAYLOR JACKSON
ALTOONA, PA
NPI
1376026864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
ALEXANDRA TAYLOR JACKSON
500 E CHESTNUT AVE
ALTOONA, PA 16601-5215
Phone number: 814-940-7450
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Mailing Address
ALEXANDRA TAYLOR JACKSON
500 E CHESTNUT AVE
ALTOONA, PA 16601-5215
Phone number: 814-940-7450
Copy
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