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1821174392
LEE ALVIN JACKSON
HAWTHORNE, CA
NPI
1821174392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2006-10-27
Last Update Date
2023-06-06
Business Address
Mr. LEE ALVIN JACKSON
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3315
Phone number: 310-970-5000
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Mailing Address
Mr. LEE ALVIN JACKSON
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3315
Phone number: 323-241-6730
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