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1043441207
MAIJIC C JACKSON
FAIRFIELD, OH
NPI
1043441207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH pn132038IV)
Enumeration Date
2009-08-05
Last Update Date
2012-12-24
Business Address
Ms. MAIJIC C JACKSON LPN
1575 GELHOT DR 92
FAIRFIELD, OH 45014-4697
Phone number: 513-319-2438
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Mailing Address
Ms. MAIJIC C JACKSON LPN
1575 GELHOT DR 92
FAIRFIELD, OH 45014-4697
Phone number: 513-319-2438
Copy
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