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1093697666
MARISSA CAYENNE JACKSON
CARBONDALE, IL
NPI
1093697666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374J00000X Doula
(Licence: IL MJ25)
Enumeration Date
2025-07-23
Last Update Date
2025-07-23
Business Address
Mrs. MARISSA CAYENNE JACKSON
212 S UNIVERSITY AVE
CARBONDALE, IL 62901-2925
Phone number: 618-534-9222
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Mailing Address
Mrs. MARISSA CAYENNE JACKSON
1412 MOUNDS RD
MOUNDS, IL 62964-2305
Phone number: 618-759-0890
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