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1528521382
SHANAY JACKSON
SACRAMENTO, CA
NPI
1528521382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
SHANAY JACKSON
2775 COTTAGE WAY STE 7
SACRAMENTO, CA 95825-1220
Phone number: 209-572-2589
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Mailing Address
SHANAY JACKSON
PO BOX 5157
MODESTO, CA 95352-5157
Phone number:
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