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1053774158
BREONKA MARIE JACKSON
NEW ORLEANS, LA
NPI
1053774158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-04-05
Last Update Date
2019-07-02
Business Address
BREONKA MARIE JACKSON
615 BARONNE ST STE 304
NEW ORLEANS, LA 70113
Phone number: 504-814-8001
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Mailing Address
BREONKA MARIE JACKSON
5220 FOREST PARK LN
NEW ORLEANS, LA 70131-8583
Phone number: 504-215-9094
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