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1396378865
ROSHENIA JACKSON
LA VERGNE, TN
NPI
1396378865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
ROSHENIA JACKSON
2025 GEORGE BUCHANAN DR
LA VERGNE, TN 37086-2843
Phone number: 615-267-1923
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Mailing Address
ROSHENIA JACKSON
2025 GEORGE BUCHANAN DR
LA VERGNE, TN 37086-2843
Phone number: 615-267-1923
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