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1518533843
DOMINIC CHRISTOPHER JACKSON
METAIRIE, LA
NPI
1518533843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-27
Last Update Date
2022-08-09
Business Address
DOMINIC CHRISTOPHER JACKSON
4201 N I 10 SERVICE RD W
METAIRIE, LA 70006-6713
Phone number: 888-880-9270
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Mailing Address
DOMINIC CHRISTOPHER JACKSON
3303 TULANE AVE
NEW ORLEANS, LA 70119-7185
Phone number: 504-302-1323
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