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1952909335
IVANA JACKSON
SAN DIEGO, CA
NPI
1952909335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
IVANA JACKSON
5333 MISSION CENTER RD STE 110
SAN DIEGO, CA 92108-1347
Phone number: 619-278-0884
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Mailing Address
IVANA JACKSON
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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