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1467072041
CHASITY JACKSON
SHREVEPORT, LA
NPI
1467072041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09698R)
Enumeration Date
2020-04-23
Last Update Date
2022-11-01
Business Address
CHASITY JACKSON DPT
1535 RIVER PARKWAY BLVD APT 208
SHREVEPORT, LA 71104-1803
Phone number: 870-665-9462
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Mailing Address
CHASITY JACKSON DPT
245 PEREGRINE WAY
BOSSIER CITY, LA 71112-2556
Phone number: 870-665-9462
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