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1780191932
IAN JACKSON
BEAVERTON, OR
NPI
1780191932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
IAN JACKSON
6200 SW ARCTIC DR
BEAVERTON, OR 97005-9447
Phone number: 503-224-2184
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Mailing Address
IAN JACKSON
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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