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1962729855
ELEANOR S JACKSON
CULVER CITY, CA
NPI
1962729855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 552116)
Enumeration Date
2010-04-30
Last Update Date
2018-06-20
Business Address
-- ELEANOR S JACKSON
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-045-3350
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Mailing Address
-- ELEANOR S JACKSON
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-045-3350
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