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1205185394
LARESA A JACKSON
CLEVELAND, OH
NPI
1205185394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 400348660404)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
-- LARESA A JACKSON
924 IDA RD.
CLEVELAND, OH 44103
Phone number: 216-210-1772
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Mailing Address
-- LARESA A JACKSON
924 IDA RD.
CLEVELAND, OH 44103
Phone number: 216-210-1772
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