KEWUAN DESHAUN JACKSON

TUCSON, AZ
NPI1639300874
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ  1490923)
Enumeration Date2009-08-05
Last Update Date2009-08-05
Business Address
-- KEWUAN DESHAUN JACKSON
4880 N SABINO CANYON RD APT 14160
TUCSON, AZ 85750-7006
Phone number: 520-818-4318
Mailing Address
-- KEWUAN DESHAUN JACKSON
4880 N SABINO CANYON RD APT 14160
TUCSON, AZ 85750-7006
Phone number: 520-818-4318
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