EDDIE LACELL JACKSON

STOCKTON, CA
NPI1508988973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
-- EDDIE LACELL JACKSON
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
Mailing Address
-- EDDIE LACELL JACKSON
2226 AUTUMN OAK PL
STOCKTON, CA 95209-4228
Phone number:
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