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1396208617
TRINETTE AMELIA JACKSON
BATON ROUGE, LA
NPI
1396208617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
TRINETTE AMELIA JACKSON RN,BSN
4336 NORTH BLVD STE 104
BATON ROUGE, LA 70806-3920
Phone number: 225-960-7419
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Mailing Address
TRINETTE AMELIA JACKSON RN,BSN
9265 DANCY AVE
BATON ROUGE, LA 70814-3004
Phone number: 225-301-3027
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