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1689270191
SCOTT JACKSON
KETCHIKAN, AK
NPI
1689270191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-09
Last Update Date
2021-02-09
Business Address
SCOTT JACKSON
2434 FOURTH AVE
KETCHIKAN, AK 99901-5820
Phone number: 907-225-7825
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Mailing Address
SCOTT JACKSON
721 STEDMAN ST
KETCHIKAN, AK 99901-6632
Phone number: 907-225-7825
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