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1518280494
ALLWYNE JACKSON
PASADENA, CA
NPI
1518280494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-03-08
Last Update Date
2010-03-08
Business Address
-- ALLWYNE JACKSON
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number: 626-463-1021
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Mailing Address
-- ALLWYNE JACKSON
2970 SANTA ANITA AVE
ALTADENA, CA 91001-1666
Phone number:
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