JACLYN JACKSON

MONROE, MI
NPI1306228978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703115148)
Enumeration Date2015-06-19
Last Update Date2015-06-19
Business Address
-- JACLYN JACKSON
5259 EVERGREEN DR
MONROE, MI 48161-3690
Phone number: 734-770-7318
Mailing Address
-- JACLYN JACKSON
5259 EVERGREEN DR
MONROE, MI 48161-3690
Phone number: 734-770-7318
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