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1093723736
JACKIE LYN PADGETT
SAINT PAUL, MN
NPI
1093723736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MN R 143648-2)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Ms. JACKIE LYN PADGETT RN
255 SMITH AVE N STE 100
SAINT PAUL, MN 55102-2518
Phone number: 651-726-2733
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Mailing Address
Ms. JACKIE LYN PADGETT RN
2516 SILVER LN NE
MINNEAPOLIS, MN 55421-3471
Phone number: 612-760-6515
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