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1144689936
SHIRLEY JACKSON
CULVER CITY, CA
NPI
1144689936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 278614)
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- SHIRLEY JACKSON
9808 VENICE BLVD STE. 505
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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Mailing Address
-- SHIRLEY JACKSON
9808 VENICE BLVD STE. 505
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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