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1518479948
GELINIA JACKSON
BOSSIER CITY, LA
NPI
1518479948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP134443)
Enumeration Date
2017-10-25
Last Update Date
2018-05-07
Business Address
GELINIA JACKSON APRN
2890 DOUGLAS DR
BOSSIER CITY, LA 71111-5806
Phone number: 318-742-6900
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Mailing Address
GELINIA JACKSON APRN
2664 FM 2054
TENNESSEE COLONY, TX 75886-5000
Phone number:
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