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1750764783
SHAMICKA JACKSON
SAN BERNARDINO, CA
NPI
1750764783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 37979)
Enumeration Date
2015-07-08
Last Update Date
2015-07-22
Business Address
SHAMICKA JACKSON
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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Mailing Address
SHAMICKA JACKSON
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
Copy
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