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1437329240
RODNEY JACK
LONG BEACH, CA
NPI
1437329240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-03-07
Last Update Date
2008-03-07
Business Address
-- RODNEY JACK
490 W 14TH ST
LONG BEACH, CA 90813-2943
Phone number: 562-591-8701
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Mailing Address
-- RODNEY JACK
490 W 14TH ST
LONG BEACH, CA 90813-2943
Phone number: 562-591-8701
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