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1063230159
DMEKA JACKSON
ROCKFORD, IL
NPI
1063230159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: IL $$$$$$$$$)
Enumeration Date
2024-09-28
Last Update Date
2024-09-28
Business Address
DMEKA JACKSON
1410 RIDGE AVE
ROCKFORD, IL 61103-6033
Phone number: 779-423-7866
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Mailing Address
DMEKA JACKSON
1410 RIDGE AVE
ROCKFORD, IL 61103-6033
Phone number: 779-423-7866
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