JACK PHILLIP JACKSON

LONG BEACH, CA
NPI1720715592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-08-02
Last Update Date2022-08-02
Business Address
JACK PHILLIP JACKSON
2025 E 7TH ST
LONG BEACH, CA 90804-4590
Phone number: 562-284-0108
Mailing Address
JACK PHILLIP JACKSON
2025 E 7TH ST
LONG BEACH, CA 90804-4590
Phone number: 562-284-0108
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