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1144840992
MARILYN JACKSON
IRVING, TX
NPI
1144840992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN240925)
Enumeration Date
2020-04-22
Last Update Date
2020-05-23
Business Address
MARILYN JACKSON
6225 N STATE HIGHWAY 161 STE 200
IRVING, TX 75038-2241
Phone number: 214-687-0001
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Mailing Address
MARILYN JACKSON
6670 SHAPIRO CT
STONE MOUNTAIN, GA 30087-4677
Phone number:
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