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1205291572
GLENDA ELIZABETH JACKSON
MILWAUKEE, WI
NPI
1205291572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 198776-30)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- GLENDA ELIZABETH JACKSON R.N.
4126 N 16TH ST
MILWAUKEE, WI 53209-6915
Phone number: 414-544-2882
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Mailing Address
-- GLENDA ELIZABETH JACKSON R.N.
4126 N 16TH ST
MILWAUKEE, WI 53209-6915
Phone number: 414-544-2882
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