BRUCE JACKSON

LOS ANGELES, CA
NPI1467711986
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-05-04
Last Update Date2012-05-04
Business Address
-- BRUCE JACKSON
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
Mailing Address
-- BRUCE JACKSON
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
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