EDNA RUTH JACKSON

DETROIT, MI
NPI1114097870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA2000X Registered Nurse, Administrator
(Licence: MI  4704118498)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
Mrs. EDNA RUTH JACKSON RN
2395 W GRAND BLVD
DETROIT, MI 48208-1210
Phone number: 313-897-2061
Mailing Address
Mrs. EDNA RUTH JACKSON RN
18001 SAINT MARYS ST
DETROIT, MI 48235-3176
Phone number: 313-272-4034
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