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1003567009
YOLANDA JACKSON
SHREVEPORT, LA
NPI
1003567009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
YOLANDA JACKSON
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number: 318-226-5990
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Mailing Address
YOLANDA JACKSON
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number: 318-226-5990
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