VESTA JACKSON

INDIANAPOLIS, IN
NPI1083940217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27059456A)
Enumeration Date2009-10-22
Last Update Date2009-10-22
Business Address
-- VESTA JACKSON
2626 E 46TH ST STE J
INDIANAPOLIS, IN 46205-2380
Phone number: 317-475-9066
Mailing Address
-- VESTA JACKSON
4749 AMESBURY PL
NOBLESVILLE, IN 46062-1104
Phone number:
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