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1235407040
TENITA JACKSON
MONROE, LA
NPI
1235407040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
Enumeration Date
2011-12-07
Last Update Date
2012-10-17
Business Address
-- TENITA JACKSON
100 JERALD DR
MONROE, LA 71203-6708
Phone number: 318-737-7079
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Mailing Address
-- TENITA JACKSON
100 JERALD DR
MONROE, LA 71203-6708
Phone number: 318-737-7079
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