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1154988988
SHEMEL JACKSON
WHITE PLAINS, NY
NPI
1154988988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 647137-1)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
Miss SHEMEL JACKSON
CLOVER HEALTH SERVICES 75,SOUTH BROADWAY
WHITE PLAINS, NY 10601
Phone number: 914-293-5001
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Mailing Address
Miss SHEMEL JACKSON
4 ORCHARD HILLS CIR APT 4B
HIGHLAND, NY 12528-1532
Phone number: 845-705-4293
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