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1134835069
TERESA STODDARD JACKSON
WASHINGTON, DC
NPI
1134835069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
TERESA STODDARD JACKSON
3005 BLADENSBURG RD NE
WASHINGTON, DC 20018-2265
Phone number: 202-584-9780
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Mailing Address
TERESA STODDARD JACKSON
2202 IRVING ST SE
WASHINGTON, DC 20020-2716
Phone number: 202-983-0322
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