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1760742936
SHANTIA JACKSON
WASHINGTON, DC
NPI
1760742936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-05-22
Last Update Date
2012-05-22
Business Address
-- SHANTIA JACKSON
1818 NEW YORK AVE NE 228
WASHINGTON, DC 20002-1848
Phone number: 202-832-8340
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Mailing Address
-- SHANTIA JACKSON
1818 NEW YORK AVE NE 228
WASHINGTON, DC 20002-1848
Phone number: 202-832-8340
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