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1306297924
SHAWNELL JACKSON
WILMINGTON, DE
NPI
1306297924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: DE L2-0011346)
Enumeration Date
2016-06-24
Last Update Date
2016-06-24
Business Address
SHAWNELL JACKSON LPN
2713 LANCASTER AVE
WILMINGTON, DE 19805-5220
Phone number: 302-656-2348
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Mailing Address
SHAWNELL JACKSON LPN
2713 LANCASTER AVE
WILMINGTON, DE 19805-5220
Phone number: 302-656-2348
Copy
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