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1942476866
LEONTYNE JACKSON
RICHMOND, CA
NPI
1942476866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-04-30
Last Update Date
2008-04-30
Business Address
-- LEONTYNE JACKSON
84 BROADWAY
RICHMOND, CA 94804-1910
Phone number: 510-231-7812
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Mailing Address
-- LEONTYNE JACKSON
84 BROADWAY
RICHMOND, CA 94804-1910
Phone number: 510-231-7812
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