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1295902971
TRACY JACKSON
OSCEOLA, AR
NPI
1295902971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R44657)
Enumeration Date
2008-05-13
Last Update Date
2008-05-13
Business Address
-- TRACY JACKSON RN
1487 W KEISER AVE
OSCEOLA, AR 72370-2806
Phone number: 870-622-0592
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Mailing Address
-- TRACY JACKSON RN
4508 STADIUM BLVD
JONESBORO, AR 72404-9675
Phone number: 870-933-6886
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