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1811673353
JOHN JACKSON
TORRANCE, CA
NPI
1811673353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
JOHN JACKSON
4025 W 226TH ST
TORRANCE, CA 90505-2340
Phone number: 310-373-4556
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Mailing Address
JOHN JACKSON
4025 W 226TH ST
TORRANCE, CA 90505-2340
Phone number: 310-373-4556
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