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1336614437
DAKOTA JACKSON
SHREVEPORT, LA
NPI
1336614437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-04
Last Update Date
2023-11-22
Business Address
DAKOTA JACKSON
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-213-1887
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Mailing Address
DAKOTA JACKSON
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-213-1887
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