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1700892130
CURTIS JACKSON
WARWICK, RI
NPI
1700892130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
CURTIS JACKSON CIT
2020 ELMWOOD AVENUE KENTHOUSE INC
WARWICK, RI 02888
Phone number: 401-781-2700
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Mailing Address
CURTIS JACKSON CIT
2020 ELMWOOD AVENUE KENTHOUSE INC
WARWICK, RI 02888
Phone number: 401-781-2700
Copy
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