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1568004398
SHAVOKA L JACKSON
GULFPORT, MS
NPI
1568004398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2019-10-14
Last Update Date
2020-02-04
Business Address
Ms. SHAVOKA L JACKSON
20375 SECRETARIAT
GULFPORT, MS 39503-4596
Phone number: 601-566-5265
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Mailing Address
Ms. SHAVOKA L JACKSON
20375 SECRETARIAT
GULFPORT, MS 39503-4596
Phone number: 601-566-5265
Copy
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