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1780101584
CHANELL MALAN JACKSON
SACRAMENTO, CA
NPI
1780101584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
CHANELL MALAN JACKSON
4141 PALM AVE APT 490
SACRAMENTO, CA 95842-4233
Phone number: 916-582-9600
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Mailing Address
CHANELL MALAN JACKSON
4141 PALM AVE APT 490
SACRAMENTO, CA 95842-4233
Phone number: 916-442-2396
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