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1306322938
WHITNEY JACKSON
MONROE, LA
NPI
1306322938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-17
Last Update Date
2019-01-07
Business Address
WHITNEY JACKSON
1500 POWELL ST
MONROE, LA 71203-5748
Phone number: 318-732-0610
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Mailing Address
WHITNEY JACKSON
1500 POWELL ST
MONROE, LA 71203-5748
Phone number: 318-732-0610
Copy
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