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1326449828
KENGORE BEATRICA JACKSON
CINCINNATI, OH
NPI
1326449828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 147653)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
Ms. KENGORE BEATRICA JACKSON
1635 SUNDALE AVE
CINCINNATI, OH 45239-4969
Phone number: 513-498-5863
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Mailing Address
Ms. KENGORE BEATRICA JACKSON
1635 SUNDALE AVE
CINCINNATI, OH 45239-4969
Phone number: 513-498-5863
Copy
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