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1679619381
LISA R JACKERT
LONG BEACH, CA
NPI
1679619381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225A00000X Music Therapist
(Licence: Cert # 03815)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Ms. LISA R JACKERT M.A., M.T.-B.C.
301 ARGONNE AVE
LONG BEACH, CA 90814-3110
Phone number: 562-716-0076
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Mailing Address
Ms. LISA R JACKERT M.A., M.T.-B.C.
PO BOX 3136
LONG BEACH, CA 90803-0136
Phone number: 562-716-0076
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