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1093080756
CHANDRA JACKSON
GAINESVILLE, FL
NPI
1093080756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5202832)
Enumeration Date
2012-03-14
Last Update Date
2012-03-14
Business Address
-- CHANDRA JACKSON
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
-- CHANDRA JACKSON
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number:
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