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1477382208
JEFFERSON T JACKSON
VANCOUVER, WA
NPI
1477382208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
JEFFERSON T JACKSON
4101 SE 192ND AVE
VANCOUVER, WA 98683-1471
Phone number: 360-605-1881
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Mailing Address
JEFFERSON T JACKSON
996 ROYAL MARCO WAY
MARCO ISLAND, FL 34145-1829
Phone number:
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