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1194292441
LISA JACKSON
SPRING, TX
NPI
1194292441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
LISA JACKSON PCA
2423 MONTANA BLUE DR
SPRING, TX 77373-7871
Phone number: 832-484-2740
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Mailing Address
LISA JACKSON PCA
700 SMITH ST # 61070
HOUSTON, TX 77002-7871
Phone number: 832-484-2740
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