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1659827301
FELICIA JACKSON
DETROIT, MI
NPI
1659827301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI 38-1917278)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- FELICIA JACKSON
1852 W GRAND BLVD
DETROIT, MI 48208-1006
Phone number: 313-894-8444
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Mailing Address
-- FELICIA JACKSON
1852 W. GRAND BLVD
DETROIT, MI 48208
Phone number: 313-894-8444
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