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1740526045
DEBRA F JACKS
OAKLAND, CA
NPI
1740526045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 941667294)
Enumeration Date
2012-12-14
Last Update Date
2012-12-14
Business Address
Ms. DEBRA F JACKS RAS
700 ADELINE ST
OAKLAND, CA 94607-2608
Phone number: 510-302-3790
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Mailing Address
Ms. DEBRA F JACKS RAS
700 ADELINE ST
OAKLAND, CA 94607-2608
Phone number: 510-302-3790
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