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1780660159
STRACY JACKSON
MC GEHEE, AR
NPI
1780660159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: AR 050024070304E)
Enumeration Date
2005-12-19
Last Update Date
2007-07-08
Business Address
-- STRACY JACKSON CNA
901 S 3RD ST
MC GEHEE, AR 71654-2563
Phone number: 870-222-3805
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Mailing Address
-- STRACY JACKSON CNA
110 S ADAMS AVE
MC GEHEE, AR 71654-2105
Phone number: 870-222-3587
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