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1861977639
LATISHA JACKSON
INDIANAPOLIS, IN
NPI
1861977639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
LATISHA JACKSON
3073 SALT LAKE RD
INDIANAPOLIS, IN 46214-1432
Phone number: 317-296-4187
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Mailing Address
LATISHA JACKSON
3073 SALT LAKE RD
INDIANAPOLIS, IN 46214-1432
Phone number: 317-296-4187
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