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1891520979
SANDRA GAIL JACKSON
SHREVEPORT, LA
NPI
1891520979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
Ms. SANDRA GAIL JACKSON
3341 YOUREE DR STE 10B
SHREVEPORT, LA 71105-2149
Phone number: 318-779-1158
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Mailing Address
Ms. SANDRA GAIL JACKSON
3341 YOUREE DR STE 10B
SHREVEPORT, LA 71105-2149
Phone number: 318-779-1158
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