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1316980766
LISA R. JACKSON
LAKE BARRINGTON, IL
NPI
1316980766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 309002626)
Enumeration Date
2006-06-14
Last Update Date
2017-03-09
Business Address
-- LISA R. JACKSON N.P.
22285 N PEPPER RD SUITE 401
LAKE BARRINGTON, IL 60010-2538
Phone number: 847-882-6604
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Mailing Address
-- LISA R. JACKSON N.P.
22285 N PEPPER RD SUITE 401
LAKE BARRINGTON, IL 60010-2538
Phone number: 847-882-6604
Copy
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