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1851936215
POTINA LATRICE JACKSON
SACRAMENTO, CA
NPI
1851936215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-08
Last Update Date
2019-11-08
Business Address
POTINA LATRICE JACKSON
1350 FULTON AVE STE 230
SACRAMENTO, CA 95825-3604
Phone number: 916-518-3187
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Mailing Address
POTINA LATRICE JACKSON
1350 FULTON AVE STE 230
SACRAMENTO, CA 95825-3604
Phone number: 916-518-3187
Copy
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