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1104186949
WANDRA LEVERN JACKSON
WASHINGTON, DC
NPI
1104186949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-05-28
Last Update Date
2012-05-28
Business Address
-- WANDRA LEVERN JACKSON hha
901 1ST ST NW
WASHINGTON, DC 20001-1403
Phone number: 202-282-3004
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Mailing Address
-- WANDRA LEVERN JACKSON hha
901 1ST ST NW
WASHINGTON, DC 20001-1403
Phone number: 202-282-3004
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