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1952160939
DEZ'GILLAI JACKSON
CAMARILLO, CA
NPI
1952160939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-13
Last Update Date
2024-03-13
Business Address
DEZ'GILLAI JACKSON
1722 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-366-4258
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Mailing Address
DEZ'GILLAI JACKSON
1722 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-366-4258
Copy
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