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1235695677
LORI ANN JACKSON
CAMPBELLSVILLE, KY
NPI
1235695677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 1061139)
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
LORI ANN JACKSON ARNP
150 W BEAR TRACK RD
CAMPBELLSVILLE, KY 42718-8709
Phone number: 270-465-8133
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Mailing Address
LORI ANN JACKSON ARNP
150 W BEAR TRACK RD
CAMPBELLSVILLE, KY 42718-8709
Phone number: 270-465-8133
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