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1881896181
JACKIE SHEPHERD
VALLEJO, CA
NPI
1881896181
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Former Name
JACKIE GAINER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-31
Last Update Date
2008-12-03
Business Address
-- JACKIE SHEPHERD
2201 TUOLUMNE ST
VALLEJO, CA 94589-2524
Phone number: 707-558-1777
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Mailing Address
-- JACKIE SHEPHERD
260 AMERICAN CANYON RD SPC 62
AMERICAN CANYON, CA 94503-3017
Phone number: 707-558-1777
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