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1831561331
AMBER JACKSON
VIDALIA, LA
NPI
1831561331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-22
Last Update Date
2019-01-07
Business Address
AMBER JACKSON
1644 CARTER ST # B
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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Mailing Address
AMBER JACKSON
1644 CARTER ST # B
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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