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1164934998
CHANDRA ALISA JACKSON
GONZALES, LA
NPI
1164934998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-11-02
Last Update Date
2019-09-23
Business Address
Ms. CHANDRA ALISA JACKSON MHP
1058 E WORTHY ST STE B-2
GONZALES, LA 70737-4302
Phone number: 225-450-3216
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Mailing Address
Ms. CHANDRA ALISA JACKSON MHP
1058 E WORTHY ST STE B-2
GONZALES, LA 70737-4302
Phone number: 225-450-3216
Copy
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