QUEEN JACKSON

COLUMBUS, GA
NPI1558677013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2010-08-23
Last Update Date2010-08-23
Business Address
-- QUEEN JACKSON
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5583
Mailing Address
-- QUEEN JACKSON
225 SMITH ST
CUTHBERT, GA 39840-6307
Phone number: 229-732-6279
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