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1982956108
SHELIA SHENELL JACKSON
SHREVEPORT, LA
NPI
1982956108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA TAP002970)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
Mrs. SHELIA SHENELL JACKSON FNP
7505 PINES RD STE 1250
SHREVEPORT, LA 71129-3935
Phone number: 318-686-3770
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Mailing Address
Mrs. SHELIA SHENELL JACKSON FNP
7505 PINES RD STE 1250
SHREVEPORT, LA 71129-3935
Phone number: 318-686-3770
Copy
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