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Individual

DESHAWN R JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7200 BANCROFT AVE STE 267, OAKLAND, CA 94605-2408
(510) 735-0864
(510) 647-9408
Mailing address
150 GRAND AVE FL 2, OAKLAND, CA 94612-3781
(510) 899-7445
(510) 647-9408

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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