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1922707538
DEAUANNA JACKSON
LOUISVILLE, KY
NPI
1922707538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-02
Last Update Date
2023-03-02
Business Address
DEAUANNA JACKSON
901 S 4TH ST
LOUISVILLE, KY 40203-3205
Phone number: 502-585-9911
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Mailing Address
DEAUANNA JACKSON
3440 IMPERATOR LN UNIT 304
LOUISVILLE, KY 40245-7807
Phone number: 502-356-3700
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