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1609515311
KEISHA LASHON JACKSON
SHREVEPORT, LA
NPI
1609515311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
KEISHA LASHON JACKSON NRCMA
146 CHELSEA DR
SHREVEPORT, LA 71105-4206
Phone number: 318-996-8995
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Mailing Address
KEISHA LASHON JACKSON NRCMA
146 CHELSEA DR
SHREVEPORT, LA 71105-4206
Phone number: 318-996-8995
Copy
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