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1013111228
KAREN LYNETTE JACKSON
MILWAUKEE, WI
NPI
1013111228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: WI 29404-031)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
Ms. KAREN LYNETTE JACKSON lpn
2915 N 44TH ST
MILWAUKEE, WI 53210-1710
Phone number: 414-449-5105
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Mailing Address
Ms. KAREN LYNETTE JACKSON lpn
2915 N 44TH ST
MILWAUKEE, WI 53210-1710
Phone number: 414-449-5105
Copy
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