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1740723972
CAROLYN JACKSON
BATON ROUGE, LA
NPI
1740723972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: LA 00922173)
Enumeration Date
2016-11-20
Last Update Date
2016-11-20
Business Address
-- CAROLYN JACKSON
301 MAIN ST STE 2200
BATON ROUGE, LA 70801-0014
Phone number: 225-224-6780
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Mailing Address
-- CAROLYN JACKSON
301 MAIN ST STE 2200
BATON ROUGE, LA 70801-0014
Phone number: 225-224-6780
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