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1386000735
JEWEL PAMELA JACKSON
BATON ROUGE, LA
NPI
1386000735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 825)
Enumeration Date
2016-01-14
Last Update Date
2019-07-22
Business Address
JEWEL PAMELA JACKSON
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-929-9738
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Mailing Address
JEWEL PAMELA JACKSON
3625 YOUREE DR
SHREVEPORT, LA 71105-2121
Phone number:
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