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1831786870
ANTOINE JACKSON
LONG BEACH, CA
NPI
1831786870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-23
Last Update Date
2020-12-23
Business Address
ANTOINE JACKSON
3491 ELM AVE
LONG BEACH, CA 90807-4430
Phone number: 562-999-7788
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Mailing Address
ANTOINE JACKSON
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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