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1174760904
JEANETTA JACKSON
PLYMOUTH MEETING, PA
NPI
1174760904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 1-090823)
Enumeration Date
2009-01-15
Last Update Date
2009-01-15
Business Address
-- JEANETTA JACKSON
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 800-879-4471
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Mailing Address
-- JEANETTA JACKSON
816 SUNDALE DR
BIRMINGHAM, AL 35235-2319
Phone number:
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