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1861824807
TAMARA DESIREE JACKSON
BRONX, NY
NPI
1861824807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: NY 212003203)
Enumeration Date
2013-08-01
Last Update Date
2013-08-02
Business Address
Ms. TAMARA DESIREE JACKSON
678 SAGAMORE ST APT 7H
BRONX, NY 10462-2874
Phone number: 347-625-4322
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Mailing Address
Ms. TAMARA DESIREE JACKSON
678 SAGAMORE ST APT 7H
BRONX, NY 10462-2874
Phone number: 347-625-4322
Copy
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