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1235799875
VERNITA M. JACKSON
ST PETERSBURG, FL
NPI
1235799875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
Ms. VERNITA M. JACKSON CM
928 22ND AVE S
ST PETERSBURG, FL 33705-2934
Phone number: 727-327-7656
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Mailing Address
Ms. VERNITA M. JACKSON CM
PO BOX 10970
ST PETERSBURG, FL 33733-0970
Phone number: 727-327-7656
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