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1982722419
DARVALE LAVON JACKSON
OAKLAND, CA
NPI
1982722419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2007-03-26
Last Update Date
2023-11-09
Business Address
Mr. DARVALE LAVON JACKSON
3695 HIGH ST
OAKLAND, CA 94619-2105
Phone number: 510-434-7990
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Mailing Address
Mr. DARVALE LAVON JACKSON
1429 WOODSIDE DR
MODESTO, CA 95355-1724
Phone number: 408-832-5185
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