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1760776132
CHIQUITA TANELL JACKSON
NEW ORLEANS, LA
NPI
1760776132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 007620477)
Enumeration Date
2011-06-02
Last Update Date
2011-06-02
Business Address
Ms. CHIQUITA TANELL JACKSON
2920 ETON ST
NEW ORLEANS, LA 70131-3806
Phone number: 504-345-7315
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Mailing Address
Ms. CHIQUITA TANELL JACKSON
2920 ETON ST
NEW ORLEANS, LA 70131-3806
Phone number: 504-345-7315
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