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1902054471
JACKIE JACKSON
COLUMBUS, GA
NPI
1902054471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2008-09-08
Last Update Date
2008-09-08
Business Address
-- JACKIE JACKSON
421 12TH ST
COLUMBUS, GA 31901-2522
Phone number: 706-494-7776
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Mailing Address
-- JACKIE JACKSON
20 CHAMPION RD
FORT MITCHELL, AL 36856-4332
Phone number: 334-855-4164
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