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1558940064
TAMMY RENEE JACKSON
LAS VEGAS, NV
NPI
1558940064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-04-03
Last Update Date
2021-04-03
Business Address
TAMMY RENEE JACKSON
8991 W FLAMINGO RD STE 105
LAS VEGAS, NV 89147-0439
Phone number: 702-586-5001
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Mailing Address
TAMMY RENEE JACKSON
8991 W FLAMINGO RD STE 105
LAS VEGAS, NV 89147-0439
Phone number: 702-586-5001
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