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1770211963
BYRON JACKSON
NORTH HOLLYWOOD, CA
NPI
1770211963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
BYRON JACKSON
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
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Mailing Address
BYRON JACKSON
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
Copy
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