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1538220884
CHRISTINE DIANE JACKSON
ROSEVILLE, CA
NPI
1538220884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT4190)
Enumeration Date
2006-12-12
Last Update Date
2021-12-30
Business Address
-- CHRISTINE DIANE JACKSON O.T.
1600 EUREKA RD
ROSEVILLE, CA 95661-3027
Phone number: 916-784-5078
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Mailing Address
-- CHRISTINE DIANE JACKSON O.T.
1600 EUREKA RD
ROSEVILLE, CA 95661-3027
Phone number: 916-784-5078
Copy
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