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1194871731
JESSICA JAMISON
SHREVEPORT, LA
NPI
1194871731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: LA 5319389001)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Miss JESSICA JAMISON Provider
7505 PINES RD STE 1255
SHREVEPORT, LA 71129-3923
Phone number: 318-687-9929
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Mailing Address
Miss JESSICA JAMISON Provider
7505 PINES RD STE 1255
SHREVEPORT, LA 71129-3923
Phone number: 318-687-9929
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