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1952131252
JERENISHA JACKSON
CITRUS HEIGHTS, CA
NPI
1952131252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
JERENISHA JACKSON
6400 TUPELO DR
CITRUS HEIGHTS, CA 95621-1741
Phone number: 916-729-3098
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Mailing Address
JERENISHA JACKSON
2543 FULTON AVE APT 130
SACRAMENTO, CA 95821-5928
Phone number: 279-251-5969
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