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1659036002
LATOYA R JACKSON
MILWAUKEE, WI
NPI
1659036002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
LATOYA R JACKSON
5028 N 66TH ST
MILWAUKEE, WI 53218-4036
Phone number: 414-350-1319
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Mailing Address
LATOYA R JACKSON
1345 N JEFFERSON ST
MILWAUKEE, WI 53202-2644
Phone number: 414-350-1319
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