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1811231822
JOSEPHINA JACKSON
ALBUQUERQUE, NM
NPI
1811231822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NM 0106471)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- JOSEPHINA JACKSON
1611 CENTRAL AVE NW
ALBUQUERQUE, NM 87104-1139
Phone number: 505-247-4622
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Mailing Address
-- JOSEPHINA JACKSON
1611 CENTRAL AVE NW
ALBUQUERQUE, NM 87104-1139
Phone number:
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