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1164948899
NAOMI JEFFERSON JACKSON
LAKE CHARLES, LA
NPI
1164948899
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Former Name
NAOMI JEFFERSON MATTHEWS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-15
Last Update Date
2022-03-23
Business Address
NAOMI JEFFERSON JACKSON
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
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Mailing Address
NAOMI JEFFERSON JACKSON
2525 YOUREE DR. SUITE 110
SHREVEPORT, LA 71104
Phone number: 318-742-3408
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