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1700138401
JOSEPH JACKSON
LANCASTER, CA
NPI
1700138401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-10-05
Last Update Date
2023-07-19
Business Address
Mr. JOSEPH JACKSON
251 E AVENUE K6 STE B
LANCASTER, CA 93535-4513
Phone number: 661-405-3620
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Mailing Address
Mr. JOSEPH JACKSON
251 E AVENUE K6
LANCASTER, CA 93535-4513
Phone number: 661-405-3620
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