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1952965840
LABRINTARY JACKSON
INDIANOLA, MS
NPI
1952965840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Additional Taxonomies
172A00000X Driver
174200000X Meals
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
LABRINTARY JACKSON
119 HERMAN JOHNSON W
INDIANOLA, MS 38751-3664
Phone number: 662-452-6006
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Mailing Address
LABRINTARY JACKSON
119 HERMAN JOHNSON W
INDIANOLA, MS 38751-3664
Phone number:
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