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1609411313
NEDREA CHANTA JACKSON
BATON ROUGE, LA
NPI
1609411313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-18
Last Update Date
2019-11-18
Business Address
NEDREA CHANTA JACKSON
7932 SUMMA AVE STE B2
BATON ROUGE, LA 70809-3736
Phone number: 225-349-7171
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Mailing Address
NEDREA CHANTA JACKSON
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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