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1003116302
LEANNE D JACK
OCEANSIDE, CA
NPI
1003116302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 244694)
Enumeration Date
2010-11-02
Last Update Date
2014-05-29
Business Address
Mrs. LEANNE D JACK LVN
1701 MISSION AVE SUITE A
OCEANSIDE, CA 92058-7102
Phone number: 760-967-4475
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Mailing Address
Mrs. LEANNE D JACK LVN
1701 MISSION AVE SUITE A
OCEANSIDE, CA 92058-7102
Phone number: 760-967-4475
Copy
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