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Lori Jackson
NPI 1407088248 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3103 S Dartmouth St
Detroit, MI 48217 - Phone
- (313) 739-4339
Registry record
- Primary taxonomy
- Chore Provider
372500000X
- Also registered as
- Private Vehicle
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan