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1164854576
LOUIS E JACKSON
WATERBURY, CT
NPI
1164854576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2013-08-07
Last Update Date
2013-08-07
Business Address
-- LOUIS E JACKSON AS
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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Mailing Address
-- LOUIS E JACKSON AS
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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