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1336523257
CARNEL JACKSON
ROCHESTER, NY
NPI
1336523257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 342660)
Enumeration Date
2015-07-10
Last Update Date
2023-06-29
Business Address
Mr. CARNEL JACKSON Nurse Practitioner
601 ELMWOOD AVE
ROCHESTER, NY 14642-2040
Phone number: 585-275-0980
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Mailing Address
Mr. CARNEL JACKSON Nurse Practitioner
978 CLINTON AVE S
ROCHESTER, NY 14620-2040
Phone number: 585-576-1001
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