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1235766601
SHANNON LAURA JACKSON
DURHAM, NC
NPI
1235766601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0200X Registered Nurse Pediatrics
(Licence: NC 294964)
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
SHANNON LAURA JACKSON RN
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 530-220-4806
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Mailing Address
SHANNON LAURA JACKSON RN
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number:
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