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1841716313
CHRISTINA RENEE' JACKSON
SHREVEPORT, LA
NPI
1841716313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-16
Last Update Date
2022-07-21
Business Address
Ms. CHRISTINA RENEE' JACKSON
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104
Phone number: 318-742-3408
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Mailing Address
Ms. CHRISTINA RENEE' JACKSON
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3408
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