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1295033322
DEBRA JACKSON
BROOKLYN, NY
NPI
1295033322
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Professional Name
DEBRA LORETTA JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 236779 9)
Enumeration Date
2011-03-14
Last Update Date
2011-03-15
Business Address
Prof. DEBRA JACKSON lpn
1625 E 54TH ST
BROOKLYN, NY 11234-3919
Phone number: 718-915-0351
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Mailing Address
Prof. DEBRA JACKSON lpn
1625 E 54TH ST
BROOKLYN, NY 11234-3919
Phone number: 718-915-0351
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