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1720777634
LEE JACKSON
SAN FRANCISCO, CA
NPI
1720777634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-05-05
Last Update Date
2023-05-05
Business Address
Mr. LEE JACKSON
1076 HOWARD ST SECOND FL
SAN FRANCISCO, CA 94103-2820
Phone number: 628-217-7854
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Mailing Address
Mr. LEE JACKSON
1076 HOWARD ST SECOND FL
SAN FRANCISCO, CA 94103-2820
Phone number: 628-217-7854
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