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1801547252
STACI NICOLE JACKSON
BATON ROUGE, LA
NPI
1801547252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-17
Last Update Date
2024-06-17
Business Address
STACI NICOLE JACKSON
14635 S HARRELLS FERRY RD STE 3A
BATON ROUGE, LA 70816-2960
Phone number: 225-349-8984
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Mailing Address
STACI NICOLE JACKSON
957 RIDGEPOINT CT
BATON ROUGE, LA 70810-2878
Phone number: 225-650-3983
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