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1235291717
SHAWNMARIE LOREEN JACKSON
NEW YORK, NY
NPI
1235291717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 303892)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Ms. SHAWNMARIE LOREEN JACKSON NP
462 1ST AVE
NEW YORK, NY 10016-9196
Phone number: 212-562-2300
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Mailing Address
Ms. SHAWNMARIE LOREEN JACKSON NP
11493 180TH ST
JAMAICA, NY 11434-1470
Phone number: 212-562-4678
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