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1770249690
TIESHA JACKSON
WASHINGTON, DC
NPI
1770249690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
TIESHA JACKSON
1393 CONGRESS ST SE APT 3
WASHINGTON, DC 20032-5076
Phone number: 202-423-0041
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Mailing Address
TIESHA JACKSON
76 FORRESTER ST SW APT 201
WASHINGTON, DC 20032-2142
Phone number: 202-779-5972
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