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1396175626
JEANETTE JACKSON
FRESNO, CA
NPI
1396175626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
-- JEANETTE JACKSON
4705 N SONORA AVE
FRESNO, CA 93722-3966
Phone number: 559-276-7558
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Mailing Address
-- JEANETTE JACKSON
4705 N SONORA AVE
FRESNO, CA 93722-3966
Phone number: 559-276-7558
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