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1720206071
SHANEKA NICOLE MIDGETT
JACKSON, TN
NPI
1720206071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-23
Last Update Date
2009-08-10
Business Address
-- SHANEKA NICOLE MIDGETT Case Manager
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-935-8200
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Mailing Address
-- SHANEKA NICOLE MIDGETT Case Manager
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759
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