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1316467871
NIA ANGALINE JACKSON
LAFAYETTE, LA
NPI
1316467871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-06-26
Last Update Date
2017-06-26
Business Address
NIA ANGALINE JACKSON
1017 SAINT JOHN ST
LAFAYETTE, LA 70501-6711
Phone number: 337-261-2300
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Mailing Address
NIA ANGALINE JACKSON
1017 SAINT JOHN ST
LAFAYETTE, LA 70501-6711
Phone number: 337-261-2300
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