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1154674604
LISA MACHELLE JACKSON
PARKER, AZ
NPI
1154674604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 673042)
Enumeration Date
2012-10-22
Last Update Date
2012-10-22
Business Address
Ms. LISA MACHELLE JACKSON RN, BSN
12033 AGENCY RD
PARKER, AZ 85344-7718
Phone number: 928-669-2137
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Mailing Address
Ms. LISA MACHELLE JACKSON RN, BSN
12033 AGENCY RD
PARKER, AZ 85344-7718
Phone number: 928-669-2137
Copy
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