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1336972793
DEANDRA B JACKSON
DETROIT, MI
NPI
1336972793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
DEANDRA B JACKSON
2165 E OUTER DR
DETROIT, MI 48234-1705
Phone number: 313-799-5787
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Mailing Address
DEANDRA B JACKSON
2165 E OUTER DR
DETROIT, MI 48234-1705
Phone number: 313-799-5787
Copy
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