COURTNEY LARESIC JACKSON

SACRAMENTO, CA
NPI1417076241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
Mr. COURTNEY LARESIC JACKSON
608 10TH ST
SACRAMENTO, CA 95814-0712
Phone number: 916-441-2933
Mailing Address
Mr. COURTNEY LARESIC JACKSON
3372 RIVERMONT ST
WEST SACRAMENTO, CA 95691-5443
Phone number: 916-371-9338
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