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1609550342
CANDELARIA M JACKSON
GONZALES, LA
NPI
1609550342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
CANDELARIA M JACKSON
1058 E WORTHY ST STE B-2
GONZALES, LA 70737-4359
Phone number: 225-450-3216
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Mailing Address
CANDELARIA M JACKSON
10132 TRIBBET ST
SAINT JAMES, LA 70086-7637
Phone number: 225-206-2926
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