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1992284673
LATERRICA JACKSON
MONROE, LA
NPI
1992284673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
LATERRICA JACKSON
2017 HUDSON LN
MONROE, LA 71201-5705
Phone number: 318-381-8584
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Mailing Address
LATERRICA JACKSON
2017 HUDSON LN
MONROE, LA 71201-5705
Phone number: 318-381-8584
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