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1528579653
FATIMA JACKSON
PHOENIX, AZ
NPI
1528579653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
FATIMA JACKSON
417 E TIERRA BUENA LN
PHOENIX, AZ 85022-3034
Phone number: 602-502-4397
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Mailing Address
FATIMA JACKSON
417 E TIERRA BUENA LN
PHOENIX, AZ 85022-3034
Phone number: 602-502-4397
Copy
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