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1487768636
KEATRINA MARIE JACKSON
PINEVILLE, LA
NPI
1487768636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 13258)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
Mrs. KEATRINA MARIE JACKSON Rph
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
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Mailing Address
Mrs. KEATRINA MARIE JACKSON Rph
PO BOX 4781
PINEVILLE, LA 71361-4781
Phone number: 318-473-0010
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