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1750895926
JACQUELINE LYNN JACKSON
SHREVEPORT, LA
NPI
1750895926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: LA 00294507)
Enumeration Date
2017-11-27
Last Update Date
2017-11-27
Business Address
MISS JACQUELINE LYNN JACKSON PROVIDE CARE
1842 MURPHY ST
SHREVEPORT, LA 71103-2919
Phone number: 318-834-8136
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Mailing Address
MISS JACQUELINE LYNN JACKSON PROVIDE CARE
1842 MURPHY ST
SHREVEPORT, LA 71103-2919
Phone number: 318-834-8136
Copy
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