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1881118776
JACKSON L DENTON
LOS ALAMITOS, CA
NPI
1881118776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF95133)
Enumeration Date
2017-08-01
Last Update Date
2017-08-01
Business Address
JACKSON L DENTON
4132 KATELLA AVE STE 104
LOS ALAMITOS, CA 90720-3493
Phone number: 562-598-5991
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Mailing Address
JACKSON L DENTON
19877 SALTWATER CIR.
HUNTINGTON BEACH, CA 92648
Phone number: 714-943-9515
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