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1841944642
CANDACE JACKSON
GARDENA, CA
NPI
1841944642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
Ms. CANDACE JACKSON None
1149 W 190TH ST STE 2200
GARDENA, CA 90248-4344
Phone number: 310-856-0800
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Mailing Address
Ms. CANDACE JACKSON None
1149 W 190TH ST STE 220
GARDENA, CA 90248-4321
Phone number: 310-856-0800
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