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1023595097
ANTHONY JACKSON
BATON ROUGE, LA
NPI
1023595097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 004618339)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
ANTHONY JACKSON
1224 STOKLEY PL
BATON ROUGE, LA 70815-7030
Phone number: 225-329-4073
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Mailing Address
ANTHONY JACKSON
1224 STOKLEY PL
BATON ROUGE, LA 70815-7030
Phone number: 225-329-4073
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