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1174863922
LUEWANA KIM JACKSON
COLUMBUS, OH
NPI
1174863922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2013-02-14
Last Update Date
2014-07-31
Business Address
MRS. LUEWANA KIM JACKSON
4466 KIMMEL RD
COLUMBUS, OH 43224-1131
Phone number: 614-262-3559
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Mailing Address
MRS. LUEWANA KIM JACKSON
4466 KIMMEL RD
COLUMBUS, OH 43224-1131
Phone number: 614-262-3559
Copy
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