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1568115582
ROSA SHENICE JACKSON
BATON ROUGE, LA
NPI
1568115582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
ROSA SHENICE JACKSON
3084 WESTFORK DR STE C
BATON ROUGE, LA 70816-2254
Phone number: 225-296-6083
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Mailing Address
ROSA SHENICE JACKSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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