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1215612031
CATHERINE ALISA JACKSON
KETTERING, OH
NPI
1215612031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OH APRN.CNP.0034084)
Enumeration Date
2023-06-19
Last Update Date
2024-01-25
Business Address
CATHERINE ALISA JACKSON
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-298-4331
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Mailing Address
CATHERINE ALISA JACKSON
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-298-4331
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