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1992367296
LISA R JACKSON-ZENO
LOS ANGELES, CA
NPI
1992367296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-07-08
Last Update Date
2022-01-14
Business Address
LISA R JACKSON-ZENO
800 W 6TH ST STE 1505
LOS ANGELES, CA 90017-2742
Phone number: 213-760-4630
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Mailing Address
LISA R JACKSON-ZENO
1343 W 90TH ST
LOS ANGELES, CA 90044-2031
Phone number: 310-686-6092
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