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Shauna Jackson
NPI 1063888907 · on the registry since 2015 · sole proprietor
Practice
- Address
- 720 Lakewood St
Detroit, MI 48215 - Phone
- (313) 656-8238
Registry record
- Primary taxonomy
- 372500000X
372500000X
- Sex
- Female
- Record last updated
- 2015-08-14
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