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1457892838
ANTUAN JACKSON
LAS VEGAS, NV
NPI
1457892838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-17
Last Update Date
2017-03-17
Business Address
-- ANTUAN JACKSON
2920 S JONES BLVD 110B
LAS VEGAS, NV 89146-5642
Phone number: 702-968-9372
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Mailing Address
-- ANTUAN JACKSON
2920 S JONES BLVD 110B
LAS VEGAS, NV 89146-5642
Phone number: 702-968-9372
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