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1871035311
JANISA LEANN JACKSON
JENNINGS, LA
NPI
1871035311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-11-15
Last Update Date
2016-11-15
Business Address
-- JANISA LEANN JACKSON
203 E ACADEMY AVE SECOND LEVEL SUITES
JENNINGS, LA 70546-5331
Phone number: 337-824-1255
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Mailing Address
-- JANISA LEANN JACKSON
2525 YOUREE DR
SHREVEPORT, LA 71104-3671
Phone number: 318-742-3408
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