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1992987309
ANDREA IRENE JACKSON
COMPTON, CA
NPI
1992987309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-11-28
Last Update Date
2011-08-04
Business Address
-- ANDREA IRENE JACKSON
921 E COMPTON BLVD
COMPTON, CA 90221-3303
Phone number: 310-668-6953
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Mailing Address
-- ANDREA IRENE JACKSON
921 E COMPTON BLVD
COMPTON, CA 90221-3303
Phone number: 310-668-6953
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