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1417502998
CHRISTOPHER ROBERT JACKSON
NORTH POLE, AK
NPI
1417502998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: AK 523381)
Enumeration Date
2019-08-01
Last Update Date
2019-08-01
Business Address
CHRISTOPHER ROBERT JACKSON
1502 LIATRIS LN
NORTH POLE, AK 99705-5082
Phone number: 907-385-5733
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Mailing Address
CHRISTOPHER ROBERT JACKSON
1680 MIDLAND ST
NORTH POLE, AK 99705-5881
Phone number: 907-385-5733
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