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LAVASHIA JACKSON
PACE Provider Organization
NPI: 1912862210Individual
Specialties, Licenses & Credentials
PACE Provider OrganizationPrimary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Code: 251T00000X
Contact & Hours
- Address
- 2636 N 12TH ST
OCEAN SPRINGS, MS 39564 - Phone
- (228) 281-0270
Quick Facts
- NPI
- 1912862210
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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