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1588470603
JODENE VENESSA JACKSON
LOS ANGELES, CA
NPI
1588470603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 29257)
Enumeration Date
2024-12-04
Last Update Date
2024-12-04
Business Address
JODENE VENESSA JACKSON CCC-SLP
2070 CENTURY PARK E
LOS ANGELES, CA 90067-1907
Phone number: 424-522-7100
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Mailing Address
JODENE VENESSA JACKSON CCC-SLP
839 ASHTON PARK CT
LAWRENCEVILLE, GA 30045-7090
Phone number: 404-989-6842
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