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1710467659
HARRY LEE JACKSON
VICTORVILLE, CA
NPI
1710467659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
HARRY LEE JACKSON
17845 IRONWOOD LANE
VICTORVILLE, CA 92395-9239
Phone number: 760-373-6251
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Mailing Address
HARRY LEE JACKSON
17845 IRONWOOD LANE SVL BOX 8205
VICTORVILLE, CA 92395
Phone number: 562-230-0737
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