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1114434016
LETICIA DENISE JACKSON
BAKERSFIELD, CA
NPI
1114434016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA RN95308638)
Enumeration Date
2018-01-02
Last Update Date
2024-08-16
Business Address
LETICIA DENISE JACKSON
4716 AMBRISTER DR
BAKERSFIELD, CA 93313-9815
Phone number: 661-561-2612
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Mailing Address
LETICIA DENISE JACKSON
4716 AMBRISTER DR
BAKERSFIELD, CA 93313-9815
Phone number: 661-561-2612
Copy
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