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1073236550
LATICIA S JACKSON
DAYTON, OH
NPI
1073236550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: OH RR641726)
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
LATICIA S JACKSON
4118 ANNAPOLIS AVE
DAYTON, OH 45416-1505
Phone number: 937-248-9741
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Mailing Address
LATICIA S JACKSON
4118 ANNAPOLIS AVE
DAYTON, OH 45416-1505
Phone number: 937-248-9741
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