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1982194635
WANDA MARIE JACKSON
NEW ORLEANS, LA
NPI
1982194635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 292534)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
WANDA MARIE JACKSON
3100 GENERAL DE GAULLE DR
NEW ORLEANS, LA 70114-6632
Phone number: 504-620-3130
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Mailing Address
WANDA MARIE JACKSON
312 E 3RD ST
BELLE CHASSE, LA 70037-2809
Phone number: 504-377-7242
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