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Organization
HEATH JACKSON
Active
Organization
HEATH JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEATH JACKSON (CASE MANAGER)
(310) 373-4556
Entity
Organization
Contact information
Practice address
4025 W 226TH ST, TORRANCE, CA 90505-2340
(310) 373-4556
Mailing address
4025 W 226TH ST, TORRANCE, CA 90505-2340
(310) 373-4556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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