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1598033417
KELECHI IHUOMA JACKSON
LAKE CHARLES, LA
NPI
1598033417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 019657)
Enumeration Date
2011-12-06
Last Update Date
2011-12-06
Business Address
-- KELECHI IHUOMA JACKSON
4828 NELSON RD
LAKE CHARLES, LA 70605-5214
Phone number: 773-931-1930
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Mailing Address
-- KELECHI IHUOMA JACKSON
5200 NELSON RD APT 901
LAKE CHARLES, LA 70605-0814
Phone number: 773-931-1930
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