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1518525302
DEIDRA JACKSON
DENHAM SPRINGS, LA
NPI
1518525302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
DEIDRA JACKSON
106 BUSINESS PARK AVENUE
DENHAM SPRINGS, LA 70726
Phone number: 888-417-5250
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Mailing Address
DEIDRA JACKSON
106 BUSINESS PARK AVENUE
DENHAM SPRINGS, LA 70726
Phone number: 888-417-5250
Copy
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