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1316354129
DEMEETRA JACKSON
PHILADELPHIA, PA
NPI
1316354129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN294278)
Enumeration Date
2014-07-14
Last Update Date
2014-07-14
Business Address
-- DEMEETRA JACKSON
7248 ELMWOOD AVE
PHILADELPHIA, PA 19142-1533
Phone number: 267-292-2876
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Mailing Address
-- DEMEETRA JACKSON
7248 ELMWOOD AVE
PHILADELPHIA, PA 19142-1533
Phone number: 267-292-2876
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