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1194350579
SUSIE BERNICE JACKSON
DEATSVILLE, AL
NPI
1194350579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: AL 3251)
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
SUSIE BERNICE JACKSON
41 COPPER RIDGE CT
DEATSVILLE, AL 36022-3242
Phone number: 334-290-8131
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Mailing Address
SUSIE BERNICE JACKSON
41 COPPER RIDGE CT
DEATSVILLE, AL 36022-3242
Phone number: 334-290-8131
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