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1265729149
LASONYA ROCHELLE JACKSON
MILWAUKEE, WI
NPI
1265729149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 178638-30)
Enumeration Date
2011-06-29
Last Update Date
2011-06-29
Business Address
LASONYA ROCHELLE JACKSON RN
3534 W ELM ST
MILWAUKEE, WI 53209-3106
Phone number: 414-610-2898
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Mailing Address
LASONYA ROCHELLE JACKSON RN
3534 W ELM ST
MILWAUKEE, WI 53209-3106
Phone number: 414-610-2898
Copy
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