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1245569276
NICOLE DENISE JACKSON
ROCHESTER, NY
NPI
1245569276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 299708-1)
Enumeration Date
2009-12-22
Last Update Date
2009-12-22
Business Address
Ms. NICOLE DENISE JACKSON lpn
2122 RIDGE RD W
ROCHESTER, NY 14626-2802
Phone number: 585-362-1538
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Mailing Address
Ms. NICOLE DENISE JACKSON lpn
2122 RIDGE RD W
ROCHESTER, NY 14626-2802
Phone number: 585-362-1538
Copy
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