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1801502455
MARK D JACKMAN
SAN DIEGO, CA
NPI
1801502455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-26
Last Update Date
2023-01-26
Business Address
Mr. MARK D JACKMAN
4930 NAPLES ST
SAN DIEGO, CA 92110-3820
Phone number: 619-276-1176
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Mailing Address
Mr. MARK D JACKMAN
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110-4430
Phone number: 619-320-2404
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