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1144641531
SELENA JACKSON
COLUMBUS, OH
NPI
1144641531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 152396)
Enumeration Date
2014-01-02
Last Update Date
2014-01-02
Business Address
-- SELENA JACKSON Lpn
2366 CANAL BAY WAY
COLUMBUS, OH 43232-8318
Phone number: 216-256-7669
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Mailing Address
-- SELENA JACKSON Lpn
2366 CANAL BAY WAY
COLUMBUS, OH 43232-8318
Phone number: 216-256-7669
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