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1962685602
MABLE LEE JACKSON
OAKLAND, CA
NPI
1962685602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-12-17
Last Update Date
2007-12-17
Business Address
-- MABLE LEE JACKSON
2551 SAN PABLO AVE
OAKLAND, CA 94612-1159
Phone number: 510-446-7142
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Mailing Address
-- MABLE LEE JACKSON
2551 SAN PABLO AVENUE
OAKLAND, CA 94612
Phone number: 510-446-7142
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