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1962177295
SHANTELL JACKSON
SAN ANTONIO, TX
NPI
1962177295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
SHANTELL JACKSON
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
SHANTELL JACKSON
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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