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1699259135
LAQUISHA JACKSON
MESQUITE, TX
NPI
1699259135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
LAQUISHA JACKSON
726 VIA DEL REY
MESQUITE, TX 75150-3022
Phone number: 414-322-4766
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Mailing Address
LAQUISHA JACKSON
726 VIA DEL REY
MESQUITE, TX 75150-3022
Phone number:
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