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1154841120
SERIDA MARIE JACKSON
VALLEY STREAM, NY
NPI
1154841120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 328081)
Enumeration Date
2017-06-21
Last Update Date
2022-07-21
Business Address
Ms. SERIDA MARIE JACKSON LPN
106 COUNTISBURY AVE
VALLEY STREAM, NY 11580-1748
Phone number: 516-270-0943
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Mailing Address
Ms. SERIDA MARIE JACKSON LPN
106 COUNTISBURY AVE
VALLEY STREAM, NY 11580-1748
Phone number: 516-270-0943
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