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1104586981
SHAWNEE JACKSON
WASHINGTON, DC
NPI
1104586981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-12-21
Last Update Date
2021-12-21
Business Address
SHAWNEE JACKSON
4660 MARTIN LUTHER KING JR AVE SW APT A314
WASHINGTON, DC 20032-4882
Phone number: 202-288-7398
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Mailing Address
SHAWNEE JACKSON
4660 MARTIN LUTHER KING JR AVE SW APT A314
WASHINGTON, DC 20032-4882
Phone number: 202-297-0657
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