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1205542107
LATASHA JACKSON
GREENVILLE, NC
NPI
1205542107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
LATASHA JACKSON
601 COUNTRY CLUB DR STE B
GREENVILLE, NC 27834-6124
Phone number: 919-740-8056
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Mailing Address
LATASHA JACKSON
5135 DEVERON ST UNIT B
GREENVILLE, NC 27834-7530
Phone number: 919-740-8056
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