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1922506419
SHA-RISA JACKSON
SAN ANTONIO, TX
NPI
1922506419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 206011)
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
SHA-RISA JACKSON
8318 JONES MALTSBERGER RD STE 121
SAN ANTONIO, TX 78216-6552
Phone number: 210-348-7529
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Mailing Address
SHA-RISA JACKSON
8318 JONES MALTSBERGER RD STE 121
SAN ANTONIO, TX 78216-6552
Phone number: 210-348-7529
Copy
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