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1457864399
TIFFANY JACKSON
MONROE, LA
NPI
1457864399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20102436)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
TIFFANY JACKSON
1705 WASHINGTON ST
MONROE, LA 71201-7046
Phone number: 318-325-8048
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Mailing Address
TIFFANY JACKSON
1705 WASHINGTON ST
MONROE, LA 71201-7046
Phone number:
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