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1659980738
LISA ANN JACKSON
FAIRFIELD, CA
NPI
1659980738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-07-24
Last Update Date
2023-11-27
Business Address
LISA ANN JACKSON
956 E TABOR AVE
FAIRFIELD, CA 94533-4104
Phone number: 707-555-1212
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Mailing Address
LISA ANN JACKSON
956 E TABOR AVE
FAIRFIELD, CA 94533-4104
Phone number: 707-555-1212
Copy
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