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1871044586
LESTER JACKSON
SHREVEPORT, LA
NPI
1871044586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-10-18
Last Update Date
2022-08-02
Business Address
LESTER JACKSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
LESTER JACKSON
9432 LYTHAM DR
SHREVEPORT, LA 71129-4824
Phone number: 318-286-2212
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