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1912732959
TEPPIE JACKSON
SAINT LOUIS, MO
NPI
1912732959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: MO LC014402238)
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
TEPPIE JACKSON
1202 JOSEPHINE BAKER AVE
SAINT LOUIS, MO 63106-1667
Phone number: 314-687-9294
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Mailing Address
TEPPIE JACKSON
1202 JOSEPHINE BAKER AVE
SAINT LOUIS, MO 63106-1667
Phone number: 314-687-9294
Copy
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