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1689451502
KISHA ELAINE JACKSON
LORAIN, OH
NPI
1689451502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-13
Last Update Date
2024-05-16
Business Address
Ms. KISHA ELAINE JACKSON CASE MANAGER
1840 E 29TH ST
LORAIN, OH 44055-1806
Phone number: 440-258-1564
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Mailing Address
Ms. KISHA ELAINE JACKSON CASE MANAGER
1840 E 29TH ST
LORAIN, OH 44055-1806
Phone number: 440-258-1564
Copy
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