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1427737618
SHIHAD JACKSON
FAYETTEVILLE, NC
NPI
1427737618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC RBT-23-284313)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
SHIHAD JACKSON
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304-4457
Phone number: 910-484-1711
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Mailing Address
SHIHAD JACKSON
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303-5283
Phone number: 910-484-1711
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