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1760968028
CREDELL JACKSON
LOS ANGELES, CA
NPI
1760968028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
CREDELL JACKSON
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3305
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Mailing Address
CREDELL JACKSON
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3305
Copy
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