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1396389029
LISA MICHELLE JACKSON
COLUMBUS, GA
NPI
1396389029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-06
Last Update Date
2019-11-06
Business Address
LISA MICHELLE JACKSON PP, BS
6200 BRADLEY PARK DR
COLUMBUS, GA 31904-3078
Phone number: 706-604-7640
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Mailing Address
LISA MICHELLE JACKSON PP, BS
6200 BRADLEY PARK DR
COLUMBUS, GA 31904-3078
Phone number: 706-604-7640
Copy
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