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1497319966
LISA MOORE JACKSON
KNOXVILLE, TN
NPI
1497319966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
LISA MOORE JACKSON
528 LAMAR ST
KNOXVILLE, TN 37917-7343
Phone number: 865-544-3841
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Mailing Address
LISA MOORE JACKSON
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-544-3841
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