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1194475012
MELISSA JACKSON
AUSTIN, TX
NPI
1194475012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 170941)
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
MELISSA JACKSON LVN
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745-3188
Phone number: 512-899-2100
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Mailing Address
MELISSA JACKSON LVN
7216 WHITE PANDA RUN
DEL VALLE, TX 78617-3581
Phone number: 512-423-8221
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