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1528797172
WAUKESHA JACKSON
INDIANAPOLIS, IN
NPI
1528797172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2022-06-08
Last Update Date
2022-06-15
Business Address
Mrs. WAUKESHA JACKSON
1222 S GRANT AVE
INDIANAPOLIS, IN 46203-2338
Phone number: 317-746-3301
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Mailing Address
Mrs. WAUKESHA JACKSON
1222 S GRANT AVE
INDIANAPOLIS, IN 46203-2338
Phone number: 317-746-3301
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