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1528500642
OREN JACKSON
TALLULAH, LA
NPI
1528500642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-07
Last Update Date
2018-05-25
Business Address
OREN JACKSON
1705 FELICIA AVE
TALLULAH, LA 71282
Phone number: 318-574-1232
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Mailing Address
OREN JACKSON
1705 FELICIA AVE
TALLULAH, LA 71282-8203
Phone number: 318-574-1232
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