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1215376074
LAWANDA S. JACKSON
WHITFIELD, MS
NPI
1215376074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2013-06-14
Last Update Date
2013-06-14
Business Address
LAWANDA S. JACKSON
3550 HIGHWAY, 468 WEST FISCAL SERVICES
WHITFIELD, MS 39193-0157
Phone number: 601-351-8000
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Mailing Address
LAWANDA S. JACKSON
P.O. BOX 1 - FISCAL SERVICES 3550 HIGHWAY, 468 WEST
WHITFIELD, MS 39193-0157
Phone number: 601-351-8000
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